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Agenix Limited AGX-1009 – a next generation prodrug for HBV with proven efficacy HBV with proven efficacy Market update March 2012 For personal use only

For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

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Page 1: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Agenix Limited

AGX-1009 – a next generation prodrug for HBV with proven efficacyHBV with proven efficacy

Market update

March 2012

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Page 2: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Forward looking statementsForward looking statements

• This presentation includes forward-looking statements that are subject to risks and uncertainties. Such statements involve known and unknown risks and important factors that may cause the actual results, performance or achievements of Agenix to be materially different from the statements in this presentation.

• Actual results could differ materially depending on factors such as theActual results could differ materially depending on factors such as the availability of resources, the results of clinical studies, the timing and affect of regulatory actions, the strength of competition, and the effectiveness of patent protection.patent protection.

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Page 3: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Capital and shareholder snapshotCapital and shareholder snapshot

• Recovery and placement revenues transformed financial position

ASX: AGX Market cap: $8.3 millionShares on issue: 756,331,581Shareholders: 3 660

• Listed on ASX in 1987 – one of Australia’s oldest biotechnology companies

Shareholders: 3,660Cash @ 31 Dec : $0.6 millionShare price @ 8 Mar: 0.011 centsListed options: 6,444,993 companies

• Supportive shareholder base

• Subject to capital raising efforts,

p , ,Unlisted options: 700,000

Top shareholders: 68%• Annmac 19 19% Subject to capital raising efforts,

funded beyond 2012 by equity and grants

No debt

• Annmac 19.19%• Directors/Management 14.17 %• OKS AGX Inc 5.51%

• No debt.• Pacific Super 4.71%• Sino Sky Holdings 4.15%

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Page 4: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

International experienced management teamInternational experienced management team

• Our people are Agenix’s core asset andOur people are Agenix s core asset and strength

• Agenix today is a well managed company

• Proven technical and China skills of directors, management and team aredirectors, management and team are driving our business forward to create long term shareholder value.

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Page 5: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

A successful history of commercialisationA successful history of commercialisationSince 1987 Agenix has taken ~ 20 animal and human products across 4 technology platforms to s ccessf l commercialisation and/or strategic sale and e it

®

Products commercialised

platforms to successful commercialisation and/or strategic sale and exit

Pre-clinical Phase I Phase IIIPhase II Marketing / sales

DIMERTEST® Latex, Auto DIMERTEST®

D-dimer detection (IVD)

VetRED® CHW, FIV;WITNESS® CHW FHW FeLV FIV CPV

Sold to American Diagnostica 2005

WITNESS® CHW, FHW, FeLV, FIV, CPV Veterinary infectious diseases (IVD)

SimpliRED® D-dimer; Simplify® D-dimer

)Sold to BBI UK 2007

Sold to Idexx Labs 2006

VTE Exclusion (IVD)

Current businesses Di t t / tDi t t / t

YouHeDing® AdefovirHepatitis B Sold to SHRG/YSY China 2008

ThromboView Pulmonary Embolism

AGX-1009Hepatitis B

Divestment / partner discussions underway

Tenofovir prodrugTenofovir prodrug

Divestment / partner discussions underway

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Hepatitis B prodrug prodrug

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Page 6: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

OperationsOperations

Melbourne AustraliaMelbourne, Australia

Shanghai, China g

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Page 7: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Strategy to create long term valueStrategy to create long term value

1. Complete transformation to a company based on capital:• human capital (experience, creativity, networks, core competencies)• relationship capital (ASX listed since 1987 partners consultants suppliers• relationship capital (ASX listed since 1987, partners, consultants, suppliers,

customers, hospitals, universities, alumni, scientific advisory board, goodwill)• intellectual capital (patents, copyright, trade marks, licensing)• organisational capital (research methodologies, reference material, research g p ( g

results)• monetary capital (raisings, recoveries)

2 Partnering our capital with China infrastructure and technical skills2. Partnering our capital with China infrastructure and technical skills

3. Driving business by reference to technical, clinical and commercial value inflection points and realistic milestonesp

4. Competent execution of basics like good corporate governance, mitigating risk and communicating milestones and results.

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Page 8: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

AGX 1009 path to market in ChinaAGX-1009 – path to market in China

• Four products are the most id l d f HBV i Chiwidely used for HBV in China:

Lamivudine AdefovirLamivudine, Adefovir, Entecavir lose efficacy overEntecavir lose efficacy over time and Interferon is very expensive

Next Generation Rx and Dx

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Page 9: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Clinical goals of HBV treatmentClinical goals of HBV treatment

Suppress HBV-DNA

Near TermDecrease viral replication

Reduce symptomsImprove Histology

Long-TermSlow progression to cirrhosis

Decrease HCCReduce need for OLT TxpImprove Histology

Reduce Inflammation (ALT)Reduce need for OLT Txp

Improve survival

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Page 10: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

TCM therapies sidelined by SFDATCM therapies sidelined by SFDA

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Page 11: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Development of resistance to Nucleos(t)ides in naïve patientsin naïve patients

80%Lamivudine Adefovir Entecavir Telbivudine

%)

80%

70

Lamivudine Adefovir Entecavir Telbivudine

71%80

46%

55%

ance

(%

50

60

23%29%

h re

sist

a

30

40

23%

3%

18%11%

ents

wit

10

20

1%5%

<1%

21%

1 1%

Years

3%

Pat

ie

01 2 3 4 5

<1% <1% 1.1%

Next Generation Rx and Dx

YearsGish RG, Locarnini S. Clin Liver Dis 2007;11:761–795

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Page 12: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Resistance management algorithm for treatment of naïve patientstreatment of naïve patients

First-Line Choices

ADV, ETV, TBV Peginterferon Combination

Response andResistance

Measure HBV DNA with sensitive assays;monitor virologic changes every 3-6 months;

it f b kth h tMonitoring monitor for breakthrough, etc

No resistance Resistance SuboptimalOutcome No resistance identified

Resistance identified

Suboptimal response

Therapeutic Plan

Switch or add drug

Switch or add drug

Continue as planned

Lok ASF, McMahon BJ. Hepatology. 2007;45:507-539.

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Page 13: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

AGX 1009 proof of conceptAGX-1009 – proof of conceptAGX-1009 is a next generation Nucleotide analog reverse-transcriptase inhibitor (NtARTIs or NtRTI) patented tenofovir ‘prodrug’ with the same proven active compoundas Gilead’s FDA-approved Viread but activated by a different molecular sidechain.

Tenofovir DF (Viread) is FDA approved in USA for HIV (2001) and HBV (2008). It is not

REVEAL Study:The Relationship Between Virus Number And Hepatocirrhosis/Hepatocellular Carcinoma

approved in China but may achieve SFDA approval and be distributed by GSK in 2014.

4006 Study:antiviral therapy could slow down the development of chronic hepatitisB

1992 1998 2002 2005 2007 20082004 2006

Interferon was approved for chronic hepatitis B Lamivudine

PegIFN

Adefovir Entecavir Telbivu-dine Tenofovir

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PegIFN

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Page 14: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

AGX 1009 th t k t i ChiAGX-1009 – path to market in China

•Market currently worth yUS $460 million $(estimated to be US(estimated to be US $1 3 billion in 2019)¹$1.3 billion in 2019)

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Page 15: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Hepatitis B A global problemHepatitis B – A global problem

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Page 16: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Hepatitis B in mainland ChinaHepatitis B in mainland China

Major unmet medical problem

Significant cost to medical system

Estimated 120 million> 10 million > 20Burden to millions of Chinese

Estimated 120 million people in China carry the HBV virus today

currently treated with

drugs

> 20 million chronic carriers

Government priority to address

US$1.3 billion market in 2019

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Page 17: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Hepatitis B Market opportunity in ChinaHepatitis B Market opportunity in China

China Population (1.335 billion)Over 10 million HBV patients and carrierswho receive treatment withtreatment with Lamivudine, Adefovir, Entecavir and Interferon.

HBV Carrier Prevalence 7.2%1

2HBV China market worth A$460 million in 2009 and will triple by

HBV Patient transformation rate ~20%2

2019 (IMS Health) HBV Patients in Treatment ~50%3

Lamivudine Adefovir Entecavir Interferon

1 MOH Statistics 2008

AGX-1009Tenofovir-DF

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1 MOH Statistics, 20082 Ibid3 IMS Health17 Next Generation Rx and Dx

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Page 18: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Hepatitis B Current market in ChinaHepatitis B Current market in China

2 800 4602 745

Million , RMB

2,600

2,800

2 200

2,400

460

280220

200

2,745

651

1 600

1,800

2,000

2,200 180

160

140

120521

2,097

518

1,606

1 000

1,200

1,400

1,600

80

60

40

100

515421

398

377

948 ENTECAVIRLAMIVUDINEADEFOVIR DIPIVOXIL

600

800

1,000

-40

-20

20

0

400317

389

286

255

383

235

243

398948

63

316

197631

280

35 TELBIVUDINEINTERFERON ALFA-2BPEGINTERFERON ALFA-2A

PEGINTERFERON ALFA-2B

-80

-60

-100

400

200

0

2009

36102

216

2008

31 74128

286

2007

32 51 34236

2006

49 13197

11363

2005

63 419356

INTERFERON ALFACON-1INTERFERON ALFA-N1INTERFERON ALFA-2A

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SOURCE: IMS HEALTH

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Page 19: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

AGX 1009 proven active substanceAGX-1009 – proven active substance

•AGX-1009 is a patented tenofovir ‘prodrug’ with the

ti dsame active compound as Gilead’s FDA approvedGilead s FDA-approved tenofovir ‘prodrug’ Vireadtenofovir prodrug Viread

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Page 20: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

AGX 1009 a next generation therapyAGX-1009 – a next generation therapy

• Virus resistance develops that make the HBV (and HIV) virus less ( )susceptible to NRTIs and NNRTIs so that patients on Lamivudine, Adefovir p ,and Telbivudine must after 3 years or so change to a next generation g gNtARTI or NtRTI drug like tenofovir.

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Page 21: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

AGX 1009 path to market in ChinaAGX-1009 – path to market in China

• AGX-1009 pre-clinical work being conducted by the Institute of Pharmacology and Toxicology (IPT) of the Chinese Academy of Military Medicine Sciences Beijing (AMMS) demonstrates goodMilitary Medicine Sciences, Beijing (AMMS) demonstrates good inhibitory efficacy on virus replication

• Demonstrated manufacturing in pre-clinical batches to 99.63% purity

• P450 toxicity test passed - significant de-risking point

• State Food & Drug Administration CTA filing set for third quarter of 2012 (clinical trial approval expected early 2013)

• Potential commencement of combination trials / partnerships

• Working with the best in China: IMB, IPT, AMMS.

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Page 22: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Intellectual Property protectionIntellectual Property protection

• Patent registered in China for AGX-1009 fTenofovir prodrug compound to 2026

• PCT applications for synthesis methods

• Future PCT patent applications for drug fixed combination formulationsfixed-combination formulations

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Page 23: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Intellectual Property protectionIntellectual Property protection

The patent protection of tenofovir in China The potential legal risks for AGX-1009 as an antivirus drug in China market are low

There are more than 30 patent applications related to Tenofovir in China, which cover new compounds, synthesis methods, and drug combinations. Among these applications, 12 highly relevant applications, which SIPO* approved the patent

in China market are low

applications, 12 highly relevant applications, which include all TFV patents from Gilead Science, were carefully reviewed to evaluate the patent protection scope in this area.

pp papplication of AGX-1009 after it authorised five tenofovir related patents to Gilead which indicates that

The strength of patent protection of AGX-1009 in China

the strength of patent protection of AGX-1009 is medium

Gilead, which indicates that Gilead’s patents have little impact on AGX-1009 at compound level.the strength of patent protection of AGX 1009 is medium

strong, especially for the compound protection.p

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* SIPO: State Intellectual Property Office of the P.R.C.

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Page 24: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

A strategic approach to reduce our risksA strategic approach to reduce our risks

Issue StrategyIssue Strategy Clinical results

• AGX-1009 based on an established and proven existing compound • Significantly lower risk profile to a new drug compound

Cli i l W ki i h i h h i ChiClinical recruitment

• Working with strategic partners who are the experts in China • Minimum errors in data and regulatory submissions in China• Government priority to expedite new drugs like AGX-1009

I t ll t l AGX 1009 t t d b d t t i Chi til 2026Intellectual property

• AGX-1009 protected by compound patent in China until 2026• Protected by method of manufacture patent applications in all key

global markets• Continue to build and will aggressively defendgg y

Capital needs

• Continue to develop strong supportive shareholder base• Close control of costs and programs

Sentiment • Lead drug candidate based on a successful proven compoundSentiment Lead drug candidate based on a successful proven compound • Proven strategic partners in China • Positioned to benefit from significant unmet needs in China• Well managed company with strong management team

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Page 25: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Value inflection points near termValue inflection points – near term

AGX-1009 • Data available from pre-clinical studies of tenofovir prodrug AGX-1009

• Announcements regarding proof of confidence• Announcements regarding proof of confidence• SFDA CTA filing expected mid-2012 • Announcements regarding distribution and clinical

partnerships• Potential licensing deals in key geographies• Potential clinical trial approval in 2013• Potential clinical trial approval in 2013• Potential commencement of combination trials• Progress of patent applications

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Page 26: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

AGX 1009 path to market in ChinaAGX-1009 – path to market in China

AverageStage Content Average Timeline (months)

Pharmacokinetics

Significant Near Term Value

Inflection PointsPre-Clinical & CMC Chemistry,

Manufacture & Control (CMC) CTA filing mid 2012Pharmacology

Toxicity

Ph IClinical Trial Application (CTA) 6 - 9

Inflection Points

Phase IPhase I Study 8 -12

Phase II/IIIClinical Trial Application (CTA) 8 -10

Phase II/III Study likely if Phase I Study Data as expected 32 -36y y y p

NDA/Productionapplications

NDA Filing 12 -15

Manufacture Licensing 6 -12

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Page 27: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Our partners in China on the AGX-1009 project are world leadersproject are world leaders

• Our partners include experienced State Food and Drug Administration (SFDA) hands and Hepatitis B experts:

• (acquisition of AGX-1009 patents and MoU of Cooperation) Institute of Medicinal Biotechnology (IMB), Chinese gy ( ),Academy of Medical Sciences (CAMS), Beijing

• (pre-clinical partner) Institute of Pharmacology and Toxicology (IPT)Pharmacology and Toxicology (IPT), Chinese Academy of Military Medical Sciences (AMMS), Beijing

• (pre-clinical partner) Institute of Radiation (p p )Medicine (IRM), AMMS, Beijing

• (pre-clinical drug manufacturing partner)Beijing Honghui Meditech

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Page 28: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Conclusion and proposalsConclusion and proposals

Conclusion

• Based on market assessment, patent review, risk assessment on pre-clinical and , p , pclinical development path, we think the overall development and regulatory risk is relatively low for AGX-1009 with a positive NPV

• P450 inhibition study was successfully conducted and has significantly de-risked the y y g yprogram

• Using reputable organisations as CROs to ensure appropriate preparation of documents and materials to avoid costly regulatory delaysy g y y

Proposal

• Full partnership available or take a position in Agenix Limited by share placement

• Distribution rights available

• Will consider licensing/divestment of program for access to technology fees, milestones and royalties

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Page 29: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

Thank youa you

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Page 30: For personal use only · AGX-1009 – path to market in Chinapath to market in China •Four products are the most wid l d f HBV i Chiidely used for HBV in China: Lamivudine AdefovirLamivudine,

ContactContact

Nicholas WestonChairman & CEO+61 3 8616 0379+61 3 8616 0379

Agenix Limited156 Collins Street156 Collins StreetMelbourne Victoria 3000Australia

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