WHO ARE WE ? An Industrial Engineer : Natalia OLMO SIRVENT A Biologist : Jaime Julio GOMEZ ALAMAN
2020-06-12-US-VALBIOTIS INVESTOR PRESENTATION BD · management positions as part of...
Transcript of 2020-06-12-US-VALBIOTIS INVESTOR PRESENTATION BD · management positions as part of...
1
VALBIOTISINVESTORS PRESENTATION
July 2020
2
01. VALBIOTIS / Corporate
02. TOTUM-63, to reduce the risk of type 2 diabetes
05. TOTUM-448, to reduce non-alcoholic hepatic steatosis (NAFL)
06. FINANCIAL INFORMATION
04. TOTUM-854, to reduce blood pressure
03. TOTUM-070, to reduce hypercholesterolemia
3©
NO
N C
ON
FID
ENTI
ALA R&D company, committedto scientific innovation,for preventing and combatingmetabolic diseases
• 4 patent familiesregistered on 5 continents
• A pipeline of innovative active substances in Nutrition Healthcare, engineered in ourR&D centers
• An innovative approach,enabled by a specific expertise of plants
• A high level of evidence, with clinical studiesand health claims
Active substances from plants and based on science, to address unmetmedical needs
3
4©
NO
N C
ON
FID
ENTI
AL
Nutrition Healthcare: a portfolio of active substances, in clinical stages
TOTUM-63 / Prediabetes
TOTUM-070 / Hypercholesterolemia
TOTUM-854 / Arterial hypertension
TOTUM-448 / Fatty Liver
Phase II Phase II/III
Mid-2020
Study launch Results
S1 2022
Q3 2020 Q4 2021
Q4 2020 Q1 2022
S2 2021 -
4
5©
NO
N C
ON
FID
ENTI
ALThe success of an innovative model in health industry,proven effective in only 5 years
2020
2017
20142016
2019
Foundation of VALBIOTIS• First fundraising• Discovery of TOTUM-63: first studies and patent applications• 4 employees and academic partners
Initial Public Offering• Internalization of the R&D platform• Strategic patents granted for TOTUM-63• Clinical validation of the first product, TOTUM-63• 36 employees• 1200m2 R&D platform in-house
First strategic partnership with a global healthcare player• Up to 71 M CHF upfront and milestones payments
+ Royalties on net sales+ Supply revenue
Development of other products of the pipelinefollowing TOTUM-63 standard
25.2 million eurosraised since 2014 (equity)
6©
NO
N C
ON
FID
ENTI
ALAn expert management team for healthcareinnovation
Sébastien PELTIER
20 years’ experience in Research& Development for drug and food
supplement industries. Unique, provenexperience with health claims referring
to the reduction of a disease risk(EFSA – European Food Safety
Authority – article 14.1a)
CEO, PhD - HDR. Chairman of the Board of Directors
Jocelyn PINEAUMBA.
CFO, Member of the board
20 years’experience in projectmanagement positions as part
of executive management boards,in the agro-food and foodsupplements industries.
Pascal SIRVENTPhD - HDR.
CSO, Member of the board
Over 15 years’ researchexperience in the field of metabolic diseases, with
leadership positions and a strong background in international scientific
partnerships.
25 years’ experience in healthand nutrition. Founder and
former Executive Director of Biofortis Mérieux Nutrisciences
Europe.
Murielle CAZAUBIELM.Sc.
CMO, Member of the board
Medicine degree, 25 years’ international experience in marketing and business development focused on Consumer Healthcare, with top management positions. Former Vice President at
Sanofi, Johnson & Johnson and Pfizer.*
Josep INFESTAMD, MBA
Head of Global Busines Development
*External consultant
7©
NO
N C
ON
FID
ENTI
ALAn expert management team for healthcareinnovationSupervisory Board
Laurent LÉVY, PhDChairman of the Supervisory Board
Remuneration CommitteeCEO, co-founder,
NANOBIOTIX
Agnès TIXIERAudit Committee
Executive Director, Crédit Mutuel, Equity SCR
Sébastien BESSYRemuneration Committee
Vice President Global Strategic Operations, IPSEN
Dr Jean ZETLAOUI, MD, MBAAudit Committee
Medical Affairs and ClinicalDevelopment Consultant
30 years’ experience as hospitalpractitioner in anesthesia-reanimation
(AP-HP), Head of scientific and medicalaffairs, market access at Sanofi, Nestlé Health Science and Novartis Pharma.
8©
NO
N C
ON
FID
ENTI
ALA unique partnershipin the field of Nutrition Health
A long-term strategic partnershipfor the development and worldwidecommercialization of TOTUM-63 in prediabetes.
A worldwide contract signed before pivotal phase
A license and supply agreement
Commercialization possible prior to health claim
Milestones payments: up to CHF 66 million, covering the cost of TOTUM-63 development+ Upfront: CHF 5 million
+ Tiered royalties on net sales+ Supply revenues
Joint Advisory Committee VALBIOTIS / Nestlé Health Science
9©
NO
N C
ON
FID
ENTI
AL2020-2022 strategic roadmap
2020
2022
TOTUM-63 (prediabetes, T2D)1st patient Phase II/IIIREVERSE-IT (Mid 2020)
TOTUM-070 (LDL-cholesterol)1st patient Phase II (Q4)
Objectives 1. Commercial launch of TOTUM-632. Launch of new clinical programs, from R&D activities
3. Partnerships on other active substances in the portfolio
TOTUM-63 (prediabetes, T2D)Scientific publications
TOTUM-448 (NAFL)1st patient Phase II (S2)
TOTUM-854 (AHT)1st patient Phase II (Q1)
TOTUM-63 (prediabetes, T2D)- Phase II/III results (S1)- Health claim file
TOTUM-854 (AHT)Phase II results (Q1)
2021
TOTUM-070 (LDL-cholesterol)Results Phase II (Q4)
New therapeuticareas
10©
NO
N C
ON
FID
ENTI
AL
Milestones 2020:TOTUM-63
FEBRUARY 2020 MARCH 2020 JUNE 2020 SEPT 2020
Partnership signed withNestlé Health Science
REVERSE-IT launch(prediabetes, untreatedType 2 Diabetes)Phase II/III pivotal study, TOTUM-63
A D AAmerican DiabetesAssociation, 80th scientific sessions
Chicago, Illinois (USA)
R E V E R S E - I TPA R T N E R S H I P
SUMMER 2020
FPFV (first patient, first visit)
R E V E R S E - I T E A S DEuropean Association forthe Study of Diabetes, 56th annual meeting
Vienna, Austria
11©
NO
N C
ON
FID
ENTI
ALHigh-value scientific & medicalsupervisory Board
Pr Samy HADJADJ MD, PhD, PU-PH
Nantes University Hospital
Professor of endocrinology, diabetology and metabolic
diseases, Hospital practitioner.
Bruno GUIGASPhD
Leiden University (Netherlands)
Assistant professor.
Pr Jean-Marie BARD PharmD, PhD, PU-PH
Nantes University Hospital
Professor of biochemistry at the Faculty of Pharmacy and
Head of the BiopathologyDepartment at Institut de
Cancérologie de l’Ouest (ICO) in Nantes.
Nathalie BOISSEAUPhD, PU
Clermont Auvergne University
Professor of sports physiology.
Thierry MAUGARD PhD, PU
La Rochelle University
Professor of biochemistry inthe Biotechnology
Department.
André MARETTE PhD - Laval University Hospital
INAF (Canada)
Professor in the Faculty of Medicine. Researcher at the
Quebec Heartand Lung Institute and Scientific
Director of the Institute of Nutritionand Functional Foods (INAF) at
Université Laval.
700 scientific publications: Diabetes Care, The Lancet, Nature
12©
NO
N C
ON
FID
ENTI
EL
3 R&D centers dedicatedto metabolic diseases
Plant-based chemistryDesign of active substances (compliant with pharmacopeia US / EU).
Extraction processes, characterisation, purification, bioengineering, pharmaco-modulation.
Discovery et Preclinical ResearchIn vivo screening on relevant models of metabolic diseases.In vivo and in vitro studies: efficacy, safety, mode of action.
1,200 m2 platform: models of metabolic diseases, radiolabelling, micro-surgery & clamp, histology, cellular culture, molecular biology, biochemistry.
Clinical researchDesign, lead and achieve all Phase I/II, II and II/III clinical studies.Clinical studies following the Good Clinical Practice standards (GCP), within specialized clinical investigation centers.
12
13©
NO
N C
ON
FID
ENTI
ALNutrition Healthcare: a high level of evidencefor prevention
A R&D process following the outlineof pharmaceutical development.
Research Clinical studiesPreclinical studies Regulatory approval
A short development cycle: 6-7 years
Phase I/IISecurity
Phase IIEfficacy
on targetpopulation
Phase II/IIIEfficacy
confirmation on target population
Unequivocal clinical evidencefor the reduction of risk factors
versus placebo
Industrial development of the product
FDA, EFSAHealth Canada, other regulatory
authoritiesby country
Obtention of health claim
14©
NO
N C
ON
FID
ENTI
ALHealth claims:well establishedregulatory processes
“TOTUM-63 may reducethe risk of type 2 diabetes,
a disease associatedwith several risk factors.”
Composition, quality& safety
”TOTUM-63 reducesfasting glycemia,
which increase is a risk factorfor type 2 diabetes.”
Composition, quality± safety
Free claim,but strictly compliantwith clinical evidence.
Quality + evidence regardingsafety and efficacy
Food supplement status Food supplement status Natural health product
HEALTH CLAIMS Provide non-ambiguous proof of the efficacy of the productin at-risk population, accordingto current regulation.
Set product specificationsand quality management.
Different framesamong countries.
15©
NO
N C
ON
FID
ENTI
ALThe business model:strategic agreementswith global health players
Target populationSubjects at riskof developingmetabolic diseases
AdvisorsHealthcare professionals
RetailPharmacies / drugstores network, online sale+ ad hoc omnichannelstrategy by country
Commercialization model
Global agreements along the products life cycle:- Last stages of clinical development- Galenic development and supply- Worldwide commercialization
Long term strategicpartnerships
Revenue generating growth
Upfront and milestones paymentsFunding of clinical studies
+ Royalties on sales+ Supply
15
16©
NO
N C
ON
FID
ENTI
AL
Nutrition Healthcare4 Nutrition Health productsin clinical development stages,to reduce the risk of developingmetabolic diseases
17©
NO
N C
ON
FID
ENTI
AL
A global IP strategyacross the portfolio
Demonstrates that innovative combinationsof plant extracts are patentable for a healthcarepurpose in food, supplements or pharmaceuticalsproducts> “ Plant extracts / molecules ”.
TOTUM-63
TOTUM-070
TOTUM-854
TOTUM-448
Patents applied for in + 60 countries
All patents registered internationally, including USA, Europe, Canada, China, Australia, Russia, Japan, Brazil.
4 patent families applications worldwide
17
18©
NO
N C
ON
FID
ENTI
ALSolid scientific resultsselected by major international scientific societies
Including 8 accepted communications in the 3 major diabetescongresses worldwide:- American Diabetes Association (ADA) - European Association for the Study of Diabetes (EASD)- International Diabetes Federation (IDF)
14Communications duringscientific congresses since 2016
18
19©
NO
N C
ON
FID
ENTI
AL
TOTUM-63, to reducethe risk of type 2 diabetes
20©
NO
N C
ON
FID
ENTI
ALPrediabetes:an opportunity for diabetes prevention“Prediabetes should not be consideredas a disease but as a high-risk stage of developing T2 diabetes”1
AT-RISK STAGE
REVERSIBLEmetabolic
impairments
IRREVERSIBLEmetabolic impairments
(in most cases)
TYPE 2 DIABETES
Lifelong treatments,costful and stressful follow-up
+ morbid complications
1 Standards of care in Diabetes, ADA 2017 ; 2 Tabak AJ. et al., Lancet, 2012 ;
3 Nathan DM. et al., Diabetes Care, 2007 ; 4 Knowler WC et al., N Engl J Med, 2002
1year:
5% to 10%2
3-4 years:
25% to 37%3,4
Long term:
70% to 90%2
PREDIABETES Risk of progression to type 2 diabeteswithout intervention
21©
NO
N C
ON
FID
ENTI
ALPrediabetes: a favourable medicalenvironment for new productsAn easy diagnosis in primary care, based on simple blood tests.
A recognition by international scientific societies and health authorities:• Screening and diagnosis modalities• Recommendations for prediabetes management
AND/OR
MODERATE FASTING HYPERGLYCEMIA
GLUCOSE INTOLERANCE
Standards of care in Diabetes, ADA, 2017 ; Global Report on Diabetes, WHO, 2016 ; HAS – Référentiel de pratiques de l’examen périodique de santé, Prévention et dépistage du diabète de type 2, 2014
1,00 to 1,25 g/L I ≥ 5,7% and < 6,5%Fasting glycemia from: HbA1c:
2 hours after a 75goral glucose intake
1,4 and 2 g/LGlycemia from
Fasting glycemia from:
AND/OR
GLUCOSE INTOLERANCE
2 hours after a 75goral glucose intake
1,4 and 2 g/LGlycemia from
MODERATE FASTING HYPERGLYCEMIA
1,10 and 1,25 g/L
22©
NO
N C
ON
FID
ENTI
AL
TOTUM-63: a worldwide innovation designed for people with prediabetes
• Clinical evidence of efficacy already obtained in prediabetics, for the reduction of fasting glycemia, to obtain a healthclaimfor the risk reduction of type 2 diabetes
• Already marketable in Europe, with authorizations granted, related to its status.
• Different formulations: capsules, powder, possible integrationinto medical nutrition products.
• 100% natural
• Well tolerability
First clinically proven and naturalsolution created to reduce the riskof developing type 2 diabetes.
Complete characterisationof the biomolecules(HPLC-UV/MS)
A combination ofplant extracts
23
Improvedinsulin signaling
↓ Sizelipid droplets
↓ Steatosis
Akt
TOTUM-63: an activesubstance for a multitargetaction on several tissues involved in metabolic regulation
Glucose
↑ DiversityIntestinal microbiota
↓ Glucose absorption
LIPOGENESIS↓Cd36, ↓Fabp1, ↓ Acaca
↓ Fas, ↓ Scd1
↓Triglycerides
GLUT2 SGLT1Sucrase-
IsomaltaseMaltase-
Glucoamylase
GLUT2
GLUT4
↑ Peripheralglucose intake
IR
InsulinI
IRS1PI3K
GLUT4
Glucose
G
G
GG
GUT
LIVER
MUSCLE
WHITE ADIPOSE TISSUE
IRI
IRS1PI3K
↑P
Akt
Insulin
↓ Pro-inflammatorymacrophages
CD11c+
BROWNADIPOSE TISSUE
↓ Expressionlipogenesis genes
↑ Expression thermogenesis genes
↑Ucp1↑Dio2↑Cox8b
↓PLIN2
↓ATG
L↓Fsp27
↓ Expression lipid storage genes
LIPIDDROPLET
Decrease in fasting glycemiaImproved glucose tolerance
G
GG
G
↓ Inflammation
GGLUT4 Glucose
G
↑P
Improvedinsulin signaling
BLOOD
24TOTUM-63:preclinical dataon type 2 diabetesprevention
© N
ON
CO
NFI
DEN
TIAL
Prevention protocols
Positive and significant results on:• Fasting glycemia• Insulin-resistance• Body weight• Fat mass
Low fat diet, LFD (n= 10)High fat diet, HFD (n= 12)HFD + TOTUM-63 (n= 12)
Control (n=10)TOTUM-63 (n=10)
High Fat Diet mice(HFD)
Diabetic mice model: db/db
25TOTUM-63:preclinical dataon type 2 diabetesreversion
© N
ON
CO
NFI
DEN
TIAL
Reversion protocolsHigh Fat Diet mice
Positive and significant results on:• Post-prandial glycemia• Insulin-resistance• Body weight• Fat mass
Low fat diet, LFD (n= 10)High fat diet, HFD (n= 12)HFD + TOTUM-63 (n= 12)
26TOTUM-63:Phase II clinical results
© N
ON
CO
NFI
DEN
TIAL
• Multicenter, randomised, unbalanced(3:1, TOTUM-63:Placebo) and double-blindplacebo-controlled study, 2 parallel-groups
• Supplementation period: 6 months, 5 g/day (3 intakes)
• Primary endpoint: change in fasting glycemiabetween baseline and 6 months
• Main secondary endpoints: 2 hours OGTT glycemia, insulin sensitivity, anthropometric parameters, hemodynamic parameters lipid profile, safety
Study design51 prediabetics with abdominal obesity associatedwith moderate hyperglycemia, hyperglycemiaat 2 hours (OGTT) and hypertriglyceridemia.
• Age*: 57.1 years (± 1.4)• Gender: 35 female, 16 male• BMI*: 31.3 kg/m2 (± 0.8)• Fasting glycemia*: 1.26 g/L (± 0.02)• 2 hours OGTT glycemia*: 1.85 g/L (± 0.08)• Fasting triglycerides*: 1.78 g/L (± 0.10)
Study population
Coordinating Investigator: Dr. David Gendre (MD Biofortis) Expert: Pr. Jean-Marie Bard (PharmD, PhD, Professor of Basic and Clinical Biochemistry, Nantes, France)ID-RCB Number: 2016-A00484-47
* Mean values ± SEM
27©
NO
N C
ON
FID
ENTI
ALTOTUM-63: Phase II clinical resultsPrimary endpoint met:reduction in fasting glycemia vs. placebo
– 9.3%a
aDifference of the means of individual variations expressed in %
TOTUM-63
28©
NO
N C
ON
FID
ENTI
ALTOTUM-63:Phase II clinical resultsSecondary endpoint met:reduction in 2h-glycemia (OGTT)vs. placebo
aDifference of the means of individual variations expressed in %
TOTUM-63
– 22.5%a
29©
NO
N C
ON
FID
ENTI
ALTOTUM-63:Phase II clinical resultsSecondary endpoints met:reduction in anthropometric parametersvs. placebo
aDifference of the means of individual variations
– 4.48 cma– 1.9 kga
TOTUM-63
Values are expressed as mean ± SEM. ** p<0.05
30©
NO
N C
ON
FID
ENTI
ALTOTUM-63:Phase II clinical resultsSecondary endpoints met:reduction in triglyceridemia and Fatty Liver Indexvs. placebo
aDifference of the means of individual variations expressed in %
TOTUM-63
– 32.2%a – 18.7%a
FLI ≥ 60: High probability of steatosisValues are expressed as mean ± SEM. ** p<0.01
31©
NO
N C
ON
FID
ENTI
ALTOTUM-63:Phase II clinical resultsSecondary endpoints met:reduction in systolic blood pressurevs. placebo
aDifference of the means of individual variations
TOTUM-63
-10.6 mmHga – 18.9 mmHga
Systolic blood pressure evolution(from baseline to 6 months), overall population
Systolic blood pressure evolution(from baseline to 6 months), subpopulation SBP > 130mmHg
Overall populationSub-population: subjects with high
blood pressure
Values are expressed as mean ± SEM. ** p<0.01
32
2020
© N
ON
CO
NFI
DEN
TIAL
TOTUM-63:an innovative active substance in the last stage of clinicaldevelopment
2019Phase I/IIpositive results2017
Industrialprocessvalidated withPierre FabreGroupeMay
Phase IIpositive resultsJuly / September
Global strategicpartnership withNHSFebruary
Phase II/III : REVERSE-ITinternational pivotal studymid-2020
Health claims
EFSA – HealthCanada – FDA and other regulatoryauthoritiesby country
33©
NO
N C
ON
FID
ENTI
ALREVERSE-IT:the international Phase II/III pivotal study in prediabeticsand untreated Type 2 diabetics
An international multicentric, randomized, placebo-controlled, double blind study.Dose: 5 g/day2 regimens: 2 and 3 intakes/dayA 3-month follow-up period, post-supplementation
Study design
Prediabetics + early stage untreated Type 2 diabetics• Elevated fasting glycemia (≥ 1.10 g/L and ≥ 1.26 g/L)• Abdominal obesity: waist circumference ≥ 102 cm (men) and > 88 cm (women)
Extended target population
Primary endpoint: reduction in fasting glycemia (a risk factor for type 2 diabetes) with TOTUM-63, 3 intakes/day, vs. placeboOther critera: 2h glycemia (Oral Glucose Tolerance Test, OGTT), body weight,waist circumference, body fat mass (DEXA)* + other metabolic parameters of interest
Same endpoints as the previous clinical Phase II
* Not tested in Phase II
TOTUM-635.0 g
(3 intakes) / day
N=200
Placebo3 intakes
/ day
N=200
TOTUM-635.0 g
(2 intakes) / day
N=200(open label)
Randomization
Duration= 6 months
600 subjects
ResultsexpectedS1 2022
34©
NO
N C
ON
FID
ENTI
ALPrediabetesmarket data
prediabetics in the world 900 million
adults diagnosed with prediabetes, waiting for a solution
13.4 million
adults with prediabetes(total USA, Canada, Top 5 Europe)
134 million
adults diagnosed in the USA10 million
Current average diagnosis rate (US/UE) = 10%
Data: AEC Partners data on key VALBIOTIS markets: the United States, Canada and the 5 primary European countries 2019
Prediabetic adultpopulation per country
14(20.2%)
12(24.2%)
6(22.1%) 6
(15.8%) 5(10.1%) 4
(8.4%)
86(33.9%)
Note: estimation for 2018
United States Germany UK Canada Spain France Italy
Million adult(% of overall adult population)
35©
NO
N C
ON
FID
ENTI
ALA fast-growing marketin the coming decade: estimate for NorthAmerica and Top 5 Europe
2018 20272019 2020 2021 2022 2023 2024 2025 2026
• Increasing prevalence of prediabetes
• Continuous progression of screening
• Development of prevention programs
• Growth of the market of prediabeteshealthcare products
0.60.7
0.8
0.9
1.0
1.2
1.4
1.6
1.8
12%
x3
Data: AEC Partners data on key VALBIOTIS markets: the United States, Canada and the 5 primary European countries (Germany, United-Kingdom, France, Spain and Italy), 2019
Mar
ketv
alue
(billi
ons €
)
1.8
1.6
1.4
1.2
1.0
0.8
annual growth rate
in 10 years
36©
NO
N C
ON
FID
ENTI
AL
TOTUM-070,to reduce hypercholesterolemia
37©
NO
N C
ON
FID
ENTI
ALLDL hypercholesterolemia:a risk factor for cardiovascular diseases
“LDL-cholesterol is the primary cause of atheroscerosis.”1
12018 Guideline on the Management of Blood Cholesterol, a report from the American College of Cardiology/American Heart Association, Journal Of The American College Of Cardiology, 20192www.inserm.fr/information-en-sante/dossiers-information/atherosclerose, accessed 2 April 2020
Atheroma plate breakageis the cause of
80% of sudden deaths.2
Atheroma platesweakening and clogging arteries
Hypercholesterolemia
LDLAtherosclerosis
Stroke
Risk ++ of cardiovascular mortality
Myocardialinfarction
Peripheralarterialdisease
Alone or associatedwith other cardiovascular
risk factors(arterial hypertension, diabetes, obesity, etc.)
38©
NO
N C
ON
FID
ENTI
AL
TOTUM-070: developed for people withmild to moderateLDL hypercholesterolemia,a risk factor for cardiovasculardiseases
• An innovating composition, 100% natural, patented, without phytosterolnor red rice yeast.
• A Phase I/II clinical study validated the tolerance and suggesteda 7-10% reduction in LDL cholesterol for the next Phase II study,in people with mild to moderate hypercholesterolemia.
à A 10% reduction in cholesterol reduces by 50% the risk ofdevelopping a heart disease within 5 years. 1
• An upcoming clinical development to obtain a proprietary health claim related to the reduction of LDL-cholesterol, risk factor for cardiovasculardiseases.
1In 40 y.o. men, www.who.int/gho/ncd/risk_factors/cholesterol_text/en/ accessed 10 April 2020
Complete characterisationof the biomolecules(HPLC-UV/MS)
A combination ofplant extracts
39©
NO
N C
ON
FID
ENTI
AL
Chole
stero
lSq
ualen
eMev
alona
teHMG-C
oA
CD36
NPC1L1
GUT
LDL
LDLR
Cholesterol
HMGCR
Bile acids
Cholesterol
PCSK9
Fatty acids
ApoB100
Chylomicron Chylomicron
VLDL
PCSK9
Bile acids
SREBP2
AMPKP
HMGCR
LDLR
PCSK9
CYP7A1
Intestinal microbiota
OngoingLIVER
Bile acids
ApoB48
IBAT
BLOODLymph
ABCA1
HDL
Enterocyte
NPC1L
1
CETP
ResidualVLDL
VLDL
Fatty acids
LPL
ApoER
Residualchylomicron
LPL
Degradation
Degradation
LPL
ABCG5/G8
Fatty acids
TG
TG
Bileduct
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing
TOTUM-070: the main hypothesis currently studied, for a multitarget mode of action on lipid metabolism
40©
NO
N C
ON
FID
ENTI
AL2020-2021: a Phase II clinical study to reduceLDL blood cholesterol
A randomized, placebo-controlled, double blind studyPopulation: 120 subjectsDose: 3.75 g/day
Study design
People with mild to moderate LDL hypercholesterolemia• LDL cholesterol blood level between 1.3 g/L and 2.2 g/L
Study population
Primary endpoint: reduction in blood LDL cholesterol, a cardiovascular riskfactor, with TOTUM-070, vs. placebo
Other criteria: several metabolic parameters of interest
Objectives
TOTUM-0703.75 g / day
N=60
Placebo3.75 g/ day
N=60
ResultsexpectedQ4 2021
Randomization
FPFV:Q4 2020
Duration:6 months
120 subjects
*Not tested in Phase II
41©
NO
N C
ON
FID
ENTI
ALMild to moderateLDL hypercholesterolemia: the market data
Adults diagnosed(total USA & Top 5 Europe)
83 million
Adults with moderatelyelevated LDL* (total USA
& Top 5 Europe)
174 million
Patients diagnosed and whouse food supplements to
control their cholesterol levels(total USA & Top 5 Europe)
34 million
Current average diagnosis rate (USA/UE) = 48%
1.2billion euros
A large and well establishedmarket in USA & Europe Top 5
Data AEC Partners, Elevated LDL preliminary market estimation, 2020.
39% of adults worldwide
with high cholesterol 1
42©
NO
N C
ON
FID
ENTI
AL
TOTUM-854,to reduce blood pressure
43©
NO
N C
ON
FID
ENTI
ALArterial hypertension (AHT):the leading cardiovascular riskfactor in the world
“The continuous relationship between blood pressure and riskof cardiovascular events has been shown at all ages and in all ethnic groups, and extends from high blood pressure levelsto relatively low values.”
1ESC/ESH Guidelines for the management of arterial hypertension, European Heart Journal, 2018
Weakened arteries
Arterialhypertension
Major risk of mortalityand disability
Ischemicheart disease
Peripheralartery disease
Stroke
Renalfailure
- Hemorrhagic- Ischemic
- Myocardial infarction- Heart failure
+ 40 % of disability adjustedlife years related to high blood
pressure since 1990.1
First cause of prematuredeath in the world: 10 million in 2015.1
44©
NO
N C
ON
FID
ENTI
ALArterial hypertension (AHT):the leading cardiovascular riskfactor in the world
people with AHT in the world (2015).1the world's first chronic disease.
1,1 billion
1ESC/ESH Guidelines for the management of arterial hypertension, European Heart Journal, 2018 ;2 Prise en charge de l’hypertension artérielle de l’adulte, Recommandation de bonne pratique, HAS, 2016 www.has-sante.fr/jcms/c_2059286/fr/prise-en-charge-de-l-hypertension-arterielle-de-l-adulte ;
3 International Diabetes Federation, 2006. Professors Sir George Alberti and Paul Zimmet.The IDF consensus worldwide definition of the METABOLIC SYNDROME
Efficient management of AHT decreases the risk of cardiovascular complications and contributes to longer life expectancy.2
The normal blood pressure of an adult is established at 120 mmHg * when the heart contracts(systolic pressure) and at 80 mmHg when the heart relaxes (diastolic pressure)2.
In Europe, AHT defined as arterial blood pressure ≥ 140/90 mmHg* persistingover time2, or ≥ 130 /85 mmHg in subjects with metabolic syndrome.3
*Blood pressure is expressed in millimeters of mercury (mmHg)
In USA, the hypertension threshold has been lowered to 130/90 mmHg.
44
45©
NO
N C
ON
FID
ENTI
AL
TOTUM-854: developed for people with mild to moderateelevation of bloodpressure, a risk factor for cardiovascular diseases
• An innovating composition, 100% natural, patented.
• An ongoing partnership with the University of Avignon Pharm-Ecology Cardiovascular Laboratory (EA 4278) to deepen the mechanism of action of TOTUM-854.
• An upcoming clinical development to obtain a proprietary healthclaim in Europe and North America, related to the reduction of systolic blood pressure, risk factor for cardiovascular diseases.
Complete characterisationof the biomolecules(HPLC-UV/MS)
A combination ofplant extracts
46©
NO
N C
ON
FID
ENTI
ALTOTUM-854: the main hypothesis currently studied,for a multitarget mode of action on blood pressure
Angiotensinogène
Angiotensin I
Angiotensin II
R-AT1
ACE Angiotensin Conversion Enzyme
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing
Ongoing
Inflammation
NADPH Oxidase
eNOS
NO
SIRT1AMPKP
Autophagy
ROS
MAPK
Akt
PI3K
P
Mitochondrie
TLR4
NF-kB
47©
NO
N C
ON
FID
ENTI
EL2020-2022: a Phase II clinical study for the reduction of blood pressure
A randomized, placebo-controlled, double blind studyPopulation: 100 subjectsDose: 2.5 g/day
Design study
People with mild to moderate elevation of blood pressure, untreated• Blood pressure between 130/80 mmHg and 160/90 mmHg
Population study
Primary endpoint: reduction in systolic blood pressure,a cardiovascular risk factor, with TOTUM-854, vs. Placebo(measurement in clinical investigation center)
Others endpoints: blood pressure ambulatory measurement over 24h
Objectives
*Not tested in Phase II
TOTUM-8542.5 g / day
N=50
Placebo2.5 g/ day
N=50
ResultsexpectedQ1 2022
Randomization
FPFV:Q1 2021
Duration:6 months
100 subjects
48©
NO
N C
ON
FID
ENTI
ALMild to moderateelevation of bloodpressure: the market data
Adults diagnosed(total USA & Top 5 Europe)
77 million
Adults with moderateelevation of blood
pressure (total USA & Top 5 Europe)
124 million
Adults diagnosed and whouse food supplements to
control their blood pressure (total USA & Top 5 Europe)
32 million
Current average diagnosis rate (USA/UE) = 61%
Données AEC Partners, Pre-HTA preliminary marjet estimation, 2020.
1.15billion euros
The mild to moderate raiseof blood pressure market
in USA + Europe Top 5
49©
NO
N C
ON
FID
ENTI
AL
TOTUM-448, to reducenon-alcoholic hepatic steatosis
50©
NO
N C
ON
FID
ENTI
ALHepatic steatosis: an opportunity to preventNASH and its complications”The progression from NAFL to NASH dramatically increases the risksof cirrhosis, liver failure,and hepatocellular carcinoma”1
1Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis; World Gastroenterology Organization, 2012 ;2EASL–EASD–EASO 2016 Clinical Practice Guidelines on the management of non-alcoholic fatty liver disease. J Hepatol 2016
Without intervention, up to 40% of subjects with non-
alcoholic hepatic steatosiswill at least develop NASH
within 8 to 13 years.2
Reversible triglycerides accumulation in> 5% of hepatocytes 1
« Ballooning »+inflammation1
Fibrosis,Cirrhosis, Hepatocellular carcinoma,Liver failure
HEALTHY LIVER
HEPATIC STEATOSIS NASH
Risk of progression to NASH without intervention
51©
NO
N C
ON
FID
ENTI
ALNon alcoholic hepatic steatosis, established specific medical practices
Recommendations for systematic screening in at-risk populations2:- Patients with obesity, insulin-resistance, metabolic syndrome, type 2 diabetes.
Liver ultrasonography: the recommended non invasive first line exam for diagnosis.2,3
- Not expensive, largely available, highly sensitive for moderate to severe steatosis.4
1Bedogni, G. et.al., BMC Gastroenterology; 2006 ;2EASL–EASD–EASO 2016 Clinical Practice Guidelines on the management of non-alcoholic fatty liver disease. J Hepatol 2016 ;
3Global Guidelines Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis, World Gastroenterology Organisation, 2012 ; 4Hernaez R et al. Hepatology. 2011.
51
Based on routine clinical examinations:• Body Mass Index (BMI) and waist size• Blood triglycerides level• Blood Gamma GT (liver enzyme) level
Fatty Liver Index (FLI): a predictive score for screening in primary care1
FLI < 30: No steatosisFLI ≥ 60: High probability of steatosis
52©
NO
N C
ON
FID
ENTI
AL
TOTUM-448: developed for people with non-alcoholicfatty liver disease, at risk of NASH
Complete characterisationof the biomolecules(HPLC-UV/MS)
Initiation of the Phase II clinicalstudy plannedfor S2 2021
A combination ofplant extracts
53©
NO
N C
ON
FID
ENTI
AL
Financial information
54©
NO
N C
ON
FID
ENTI
ALALVAL-FR: Shareholders breakdown
Target price (data February 2020)
Portzamparc Christophe DOMBU
10.50 EUR
Target price (data July 2020)
Invest Securities Thibaut VOGLIMACCI-STEPHANOPOLI
12.30 EUR
69.7%
12.7%
17.6%
Individuals and institutions
Management
Family Offices
Free float87.3%
At 17/07/2020
54
55©
NO
N C
ON
FID
ENTI
ALCash and R&D expenses
Cash Position: € 10.9 million(at 30/06/2020)
Not included:first milestone payment from Nestlé Health Science (CHF 3 M),fundraise from Amiral Gestion (€ 2 M) and PGE (€ 3 M, loan with French State guarantee).
IFRS en K€, au 31 décembre 2019 2018
Operating income, including 1,913 1,509
Grants 602 46
Research Tax Credit 1,219 1,183
R&D expenses (3,974) (3,826)
Sales and marketing expenses (1,473) (1,059)
Overhead costs (1,343) (1,284)
Operating profit for the period (5,157) (4,876)
Operating profit (5,157) (4,876)
Earnings before tax (5,504) (4,967)
Net profit (5,504) (4,967)
56
VALBIOTISINVESTORS PRESENTATION
July 2020