BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market...

40
BIO Latin America Conference 26 th October 2016 CCONFIDENTIAL: NOT FOR DISTRIBUTION

Transcript of BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market...

Page 1: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

BIO Latin America Conference

26th October 2016

CCONFIDENTIAL: NOT FOR DISTRIBUTION

Page 2: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

July 27, 1998

Page 3: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

REGENERATIVE MEDICINE CONTINUES TO TRANSFORM HEALTHCARE

Regenerative Medicine (RM) replaces or regenerates cells, tissue or organs to restore impaired function.

RM is a broad field that encompasses

1. Cell Therapies 2. Regenerative Compounds 3. Tissue Engineering4. Tools & Enabling Devices5. Aesthetic Medicine

… that have the capacity to:

1. Cure diseases; 2. Regenerate damaged tissue; and 3. Reverse degenerative changes associated with aging.

Page 4: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

THE RM FIELD IS AT A KEY INFLECTION POINT

Rapidly Expanding Market

$23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage

Increased Funding in 2015: $10B+ (up 106% compared to 2014)

VC, PIPEs, IPO’s, Deals: $8B+ Governments (NIH, CIRM, etc.):

$2B+

Clinical Programs

5600+ Clinical Trials 1800+ ”New RM” Technologies 200+ In Late Stage (PIII/PIV)

Commercial Products

40+ Cell Therapies/TE Products on Market 1st Approved Gene Therapy (2014)

1.4M+ Patients Treated with RM Products

60K+ Stem Cell Transplants/Year

RM Companies

700+ Co’s involved in RM ”Pure” RM Co’s

• 300+ Private Co’s• 100+ Public Co’s with $40B+ Total

Market Cap• Gene & Immunotherapy Co’s

Leading

RM MARKET: KEY METRICS

Source: Proteus Investor Forum Workshop: ”Horizon Scoping: Why Invest In Stem Cells And Regenerative Medicine” – May 2015

Page 5: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

RM BUSINESS MODEL: AUTOLOGOUS V. ALLOGENEIC

Autologous Model

Patients Own Cells/Tissue

• Personalized Medicine

Advantages:

• Easier Regulatory Path

(GTP)

• No Immune Response

Challenges:

• Difficult to Scale

• High COGS

Allogeneic Model

Universal Cells in a Bottle

• Big Pharma “Drug Model”

Advantages:

• Scalable

• Low COGS

Challenges:

• More Difficult Regulatory

Path

• Immune Response

Service vs. Product

Source: Proteus Investor Forum Workshop: ”Horizon Scoping: Why Invest In Stem Cells And Regenerative Medicine” – May 2015

Page 6: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

THE RM MARKET IS GROWING RAPIDLY: 23.2% GAGR

Page 7: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

GLOBAL RM LEADING COMMERCIAL CELL THERAPY PRODUCTS

Source: http://alliancerm.org/sites/default/files/ARM_Annual_Report_2013_Website.pdf

Page 8: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

OVER 5600 CLINICAL TRIALS WORLDWIDE INVOLVING STEM CELLS

Source: ClinicalTrials.gov

Page 9: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

RM CLINICAL TRIALS BY PHASE AND BY THERAPEUTIC CATEGORY

Source: ARM's Annual Regen Med & Advanced Therapies State of the Industry Briefing, January 2016

Page 10: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

RM REGULATORY ENVIRONMENT: MULTIPLE AGENCIES

Source: Proteus Investor Forum Workshop: ”Horizon Scoping: Why Invest In Stem Cells And Regenerative Medicine” – May 2015

Page 11: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

GAME CHANGER: JAPAN’S ”DISRUPTIVE” REGULATORY CONDITIONAL PATHWAY FOR CELL THERAPIES

Source: New Regulation in Japan and Future Direction of PMDA - Japan Pharmaceuticals and Medical Devices Agency (PMDA)

Page 12: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

WHY THE HEALTHCARE SECTOR IS GOING TO REMAIN HOT

Source: Boost for biotech as big pharma faces patent cliff – FinFeed: http://finfeed.com/biotech/boost-biotech-big-pharma-faces-patent-cliff/20160708/

Half of all lifetime careexpenditure occurs at 65years of age upwards!

Page 13: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

CAPITAL IS FLOWING INTO THE FIELD

Source: Alliance for Regenerative Medicine (ARM) – 2015 Annual Data Report on Gene and Cellular Therapies and the Regenerative Medicine Sector

Page 14: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

FACTORS DRIVING INVESTMENT IN BIOTECHNOLOGY

Source: Raymond James ”The Business of Regenerative Medicine: State of the Field – Harvard Business School July 2016”

• Aging population

• Rise of chronic disease

• Pharma is cutting back on R&D

• Pharma’s patent cliff problem has not been solved

• Better clinical trial design improving chances of success

• Improved regulatory environment

Page 15: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

REGENERATIVE MEDICINE STAKEHOLDERS

Source: http://alliancerm.org/page/promise-and-potential

Page 16: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

GLOBAL COMPANY DISTRIBUTION

Source: ARM's Annual Regen Med & Advanced Therapies State of the Industry Briefing, January 2016

Page 17: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Revolution: Stem cells & Cell Therapy

DEFINITIVE TREATMENT FOR INCURABLE AND CHRONIC DISEASES

The promise

Page 18: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Our multidisciplinary management Team

Medical

Scientific

Commercial

Regulatory

Page 19: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Our MAIN therapeutic focusAcute and chronic musculoskeletal diseases

Page 20: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Cell collection(Adipose tissue) Cell processing

GMP Lab(Isolation, engineering, expansion,

characterization)

Oil

Collagen + Adipocytes

Stromal Vascular FractionAd-MSCs + Other cells

Washing solution

FormulationRe-injection Quality Control

Solution: Our Product

Page 21: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Media impact of Muse-AT discovery

Page 22: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Muse-AT CellsMUltilineage differentiating Stress-Enduring Stem Cells

Pluripotent cells (Differentiate to any cell type)

Highly resistant to cellular stress

Effective homing properties (Go to injury)

No ethical concerns (Obtained from adult tissues)

Nonteratogenics (No tumors)

High regeneration potential:

- Trophic effect (Growth factors production)

- Immunomodulatory effect

- Direct effect: Local differentiation

UCLA Patent WO 2014190150 A1(USA, Europe, Japan & Chile)

Page 23: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Joint Venture(IP Pooling)

Exclusive Patent Licensing LATAM Chile, Brazil, Colombia, Uruguay, Ecuador

Exclusive representative(IP Pooling)

Dr ChazenbalkMuse-AT cellsUCLA Patent License WO 2014190150 A1

CLUSTERBIOTHERAPEUTICS LLC

Los Angeles CA, ProChile Office, 2016

Business model

Page 24: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

TODAY

Regenerative Medicine

Research & Development

Technology & Innovation

Patients (Traumatology and Orthopedics)

Cashflow $ Data

MSC spheroids Muse-AT Cell Bank 3D printing

Clinical trials Pre-Clinical trials Partnering

Business model

Page 25: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

PreclinicalDevelopment

Clinical trial phase I-II

Clinical trial phase II-III

CommercialLATAM

PartnerMuse-AT application

OsteoarthritisChile - Brazil

PrototypeResearch

Acute muscle injuryChile

Jaimovich Lab

Parkinson’s diseaseChile

Hetz Lab

Diabetic footEcuador

Pipeline & Strategic partners

Page 26: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

TODAY

Regenerative Medicine

Research & Development

Technology & Innovation

CLUSTERBIOTHERAPEUTICS LLC

Selection of Key Novel Disruptive Technologies

“Crème de la Crème”

LATAM

Business model

Page 27: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Why?

Non-invasive injectable therapy

Market behavior projection

Injection Surgery Injection Surgery Injection Surgery

Page 28: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Surgery room ISO CLASS 7

PHARMA PASS-THROUGH

Cell processing clean room ISO CLASS 6

Advantages: Integrated Cell Therapy Center

Page 29: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Proprietary clinical evidence (DATA)Diagnosis: - Severe partial rupture of Achilles tendon

- Partial intrasubstance tear- Fibrillar soleus rupture

Allopathic treatment: Surgery (120 days recovery)

Alternative: Cell therapy treatment

60 days aftercell treatment

50% lessrecovery TIME

Page 30: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding
Page 31: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Our Vision

A world in which transformative cell-based

therapeutics are accessible to all.

Page 32: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Obrigado!

[email protected]

Page 33: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

BACK-UP SLIDES

Page 34: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Stem cells offer hope

schizophrenia

Alzheimer’s disease

Parkinson’s disease

spinal cord injury

muscular dystrophy

heart disease

immune deficiencies

kidney disease

anemias

diabetes

bone marrow disorders

leukemia, lymphoma

Page 35: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

What is a stem cell?

A single cell that can

Replicate itself Differentiate into many cell types

Page 36: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

A stem cell is either . . .

Embryonic (makes all tissues)

Blastocyst

Blood

Connective

Adult (makes specific tissues)

White cells

Red cells

Platelets

Bone

Muscle

Fat

Induced pluripotent(makes all tissues)

Page 37: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Selling Stem Cells in the USA: Assessing the Direct-to-Consumer Industry

Source: Turner and Knoepfler, Selling Stem Cells in the USA: Assessing the Direct-to-Consumer Industry, Cell Stem Cell (2016), http://dx.doi.org/10.1016/j.stem.2016.06.007

Page 38: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

Selling Stem Cells in the USA: Assessing the Direct-to-Consumer Industry

Page 39: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

SAFETY, SAFETY – oh yeah, did we forget to mention safety?

Source: Regenexx.com

Regenexx stem cell procedures have been studiedextensively for more than a decade;

In 2016, Regenexx published the world’s largest (2,372patients) stem cell safety paper in any medical indication(not just orthopedics).

There was no clinical evidence to suggest that treatmentwith MSCs of any type in this study increased the risk ofneoplasm (abnormal growth of tissue).

Page 40: BIO Latin America Conference...THE RM FIELD IS AT A KEY INFLECTION POINT Rapidly Expanding Market $23.8B in 2015 $67.5B in 2020 CAGR of 23.2% 1st mover advantage Increased Funding

This 2.5 day course focuses on the critical issues associated with conceptualizing, developing, and building a company in the field of regenerative medicine.

Harvard and the Business of Regenerative Medicine