Anavex Life Sciences Corp. · NASDAQ:AVXL
Anavex Life Sciences — Investor Presentation (May 2015)
34 slides from Anavex Life Sciences's investor presentation, May 2015
Slide 1: Corporate Presentation Spring 2015
OTCQX: AVXL Corporate Presentation Christopher U. Missling, PhD President & CEO Spring 2015
Slide 2: Safe Harbor
Safe Harbor This presentation contains forward-looking statements made within the meaning of the Private Securities Litigation Reform Act of 1995 by Anavex Life Sciences Corp. and its representatives. These statements can be identified by introductory words such as ``expects,'' ``plans,'' ``intends,
Slide 3: Anavex Overview
Anavex Overview Lead drug ANAVEX 2-73 and ANAVEX PLUS are currently in a Phase 2a clinical trial for Alzheimer‘s disease (AD) • ANAVEX PLUS is a combination of our proprietary compound, ANAVEX 2-73 and the current standard of care, donepezil (Aricept®) • ANAVEX 2-73 is an orally available small mo
Slide 4: Broad Pipeline In Alzheimer's, Oncology and Pain
Broad Pipeline In Alzheimer’s, Oncology and Pain PRECLINICAL PHASE 1 PHASE 2 PHASE 3 ANAVEX PLUS ALZHEIMER’S ANAVEX 2-73 ALZHEIMER’S EPILEPSY RARE DISEASES ANAVEX 3-71 (AF710B) ALZHEIMER’S PARKINSON’S ANAVEX 1-41 DEPRESSION STROKE PARKINSON’S ALZHEIMER’S ANAVEX 1079 CANCER (MELANOMA) ACUTE & NEUROPA
Slide 5: Recent 3rd Party Publications on Sigma-1R Pathway: Additional Indications
Recent 3rd Party Publications on Sigma-1R Pathway: Additional Indications Calcium target over-expression IP3 may be involved in causing Alzheimer’s disease, same target regulated through Sigma-1 receptor − K. Foskett, K. et al., The Journal of Neuroscience, 14 May 2014, 34(20):6910-6923 Sigma-1
Slide 6: Sigma-1 Receptor is a Multi-Targeted Key Cellular Modulator
Sigma-1 Receptor is a Multi-Targeted Key Cellular Modulator ANAVEX Blocking NOS Enabling neuroprotection Reducing protein misfolding Modulating Ca2+ Reducing oxidative stress Reducing mitochondrial dysfunction Reducing inflammation Cauli et al., Neuroscience, Volume 190, 2011, Pages 27
Slide 7: Sigma-1 Receptor Demonstrates Broad Range of Modulatory Effects
Sigma-1 Receptor Demonstrates Broad Range of Modulatory Effects Sig-1R Sig-1R Increases Decreases Sigma-1 R potentially beneficial for Neurodegenerative Diseases? 7 Francardo,V. Neural Regen Res. 2014 Nov 1; 9(21): 1882–1883.doi: 10.4103/1673-5374.145351
Slide 8: ANAVEX 2-73 Potential as Platform Drug: Strong Pre-Clinical Epilepsy Data
ANAVEX 2-73 Potential as Platform Drug for other CNS Indication’s: Strong Pre-Clinical Epilepsy Data Significant Anti-Convulsive Action of ANAVEX2-73 Long-Lasting Effect Shown in PTZ- Against both MES and PTZ-Induced Convulsions Induced Convulsions *** *** *** *** 100 *** *** 100 90 90 80 MES-induce
Slide 9: Alzheimer's is the Largest and Fastest Growing Therapeutic Area
Alzheimer’s is the Largest and Fastest Growing Therapeutic Area More effective and potentially disease-modifying treatments will create a multibillion dollar product market opportunity* $80bn $67.1bn $70bn $60bn Market Assuming $20,000 per year Potential $40bn treatment cost $30bn Assuming $100,00
Slide 10: Alzheimer's: Complicated Cause with Tragic Outcome
Alzheimer‘s: Complicated Cause with Tragic Outcome ... Stages of Increased Alzheimer’s burden Loss of speech; locomotion, Terminal consciousness; death Very Severe Full-time care needed; institutionalized Can no longer care for self; incontinent, depressed Severe Can no longer manage personal affair
Slide 11: Alzheimer's Disease is Complicated
Alzheimer‘s Disease is Complicated ... Removing amyloid beta (A-beta) plaques in the brain might be too simplistic to be effective - Recent disappointments of bapineuzumab (Pfizer), solanezumab (Eli Lilly), crenezumab (Roche) and gantenerumab (Roche) More likely: Free-floating particles of A-bet
Slide 12: Chronic Stress of Aging: Misfolding of Proteins
Chronic Stress of Aging: Misfolding of Proteins … Age is strongest correlation to develop AD - People are living longer Chronic stress of aging in brain cells causes gradual accumulation of damaged proteins causing misfolding of proteins - Protein Misfolding creates a “Domino Effect” ANAVEX 2-
Slide 13: ANAVEX 2-73 Reverses Cycle of Protein Misfolding
ANAVEX 2-73 Reverses Cycle of Protein Misfolding Our therapeutic’s Potential Mode of Action - mixed muscarinic / Sig-1R agonist Ca2+ modulation, reducing inflammation, mitochondrial dysfunction, and oxidative stress, while also reducing both A-beta and Tau ANAVEX 2-73 ANAVEX 2-73 ANAVEX 2-73 Exposin
Slide 14: ANAVEX 2-73 Targets all Hallmarks of AD
ANAVEX 2-73 Targets all Hallmarks of AD Primary effect of A-beta toxicity: after staying in neurons for too long continued induction ANAVEX 2-73 of cell stress Endogenous Sig-1R expressed to reduce chronic cell stress level not sufficient Chronic cell stress possibly causing Alzheimer’s diseas
Slide 15: ANAVEX 3-71 Significantly Decreases Hallmark Pathologies in 3xTg-AD Model
ANAVEX 3-71 Significantly Decreases Hallmark Pathologies in 3xTg-Alzheimer’s Disease Model 10 month-old 3xTg-AD and WT mice administered p.o. (oral) with tap water or ANAVEX 3-71 (10 mcg/kg/day) for 2 months Presented at AAIC 2014 15
Slide 16: ANAVEX 2-73 Significantly Improves Memory in Transgenic AD Model
ANAVEX 2-73 Significantly Improves Memory in Transgenic Alzheimer's Disease Model (Tg2576) P<0.01 10 month-old Tg2576 and WT male mice administered p.o. (oral) with tap water or ANAVEX 2-73 (3 mg/kg/day); After 2 months, tested for place learning in the water-maze; N = 6-12 per group 16 Presented
Slide 17: ANAVEX PLUS: Synergistic Memory Enhancing Effect with Donepezil
ANAVEX PLUS: Synergistic Memory Enhancing Effect of ANAVEX 2-73 with Donepezil (Aricept®) Improved memory Short-term (YMT) and long-term (PAT) memory test. Only the data with lowest doses are shown (mg/kg ip). 100% protection level represents control group (Sc.Ab/V) and 0% represents toxic group (
Slide 18: ANAVEX PLUS: Potential Symptomatic and Disease-Modifying Agent
ANAVEX PLUS: Potential Symptomatic and Disease- Modifying Agent ANAVEX PLUS Δ=2.8 Δ=2.5 - Combination of ANAVEX 2-73 “plus” donepezil (Aricept®) - Potential novel combination drug for Alzheimer’s ANAVEX 2-73 is potentially disease modifying - Able to reverse memory and learning deficits and prot
Slide 19: ANAVEX PLUS Anticipated Cognition Response is >2x Higher than Donepezil Alone
ANAVEX PLUS Anticipated Cognition Response is >2x Higher than Donepezil (Aricept®) Alone Lower clinical trial risk since one compound (donepezil) already on the market General efficacy of donepezil (Aricept®) 2-3 points on the ADAS-Cog scale Early AD progression proceeds at a rate of 5.5 point
Slide 20: ANAVEX 2-73 / ANAVEX PLUS Efficient Clinical Trial Execution Plan
ANAVEX 2-73 / ANAVEX PLUS Efficient Clinical Trial Execution Plan ANAVEX2-73-001 Study: • Phase 1 (oral) • Single Ascending Dose (SAD) Completed • Healthy subjects ANAVEX2-73-002 Study: • Phase 2a (oral) • Mild-to-moderate AD patients • Adaptive trial with Population PK Underway – Preliminary • Bioa
Slide 21: EEG (Electroencephalogram)
EEG (Electroencephalogram) EEG /ERP Study correlating quantitatively EEG /ERP P300 directly with ADAS-Cog at Baseline, 15 days, 1 month, 2 months, 3 months and 6 months: Clinical Neuropharmacology Vol. 25, No. 4, pp. 207–215 (2002)
Slide 22: EEG/ERP Are Fast Onset Signals
EEG /ERP Are Fast Onset Signals Demonstrates sensitivity to Alzheimer’s disease Real-time physiological measure of cognitive processes More proximal to disease pathology and pharmacological intervention than psychometric measures Coyne, J. et al. Foundations of Augmented Cognition. Neuroergono
Slide 23: Sigma-1 R Agonists Show Fast Onset of Action
Sigma-1 R Agonists Show Fast Onset of Action Sigma-1 agonists are able to potentiate the firing of serotonergic neurons, as early as after 2 days of treatment; whereas SSRI and MAOI induced changes take several weeks to emerge Sigma-1 agonists have a more rapid onset of antidepressant efficacy o
Slide 24: P300 Change Correlates with ADAS-Cog
P300 Change Correlates with ADAS-Cog P300 Change 40% 30% Change in % 20% 10% 0% -10% -20% -30% Baselin 15 1 2 3 6 e Days Month Months Months Months Donepezil 0% 4% 10% 16% 22% 34% Control 0% -1% -7% -12% -13% -18% ADAS-Cog Change 15% 10% Change in % 5% 0% -5% -10% Baselin 15 1 2 3 6 e Days Month Mon
Slide 25: FDA Guidelines for Adaptive Trial and Population PK Design
FDA Guidelines for Adaptive Trial and Population PK Design Fewer patients needed Shorter duration required More likely to demonstrate an effect of the drug (if one exists) More informative on the treatment’s effects Broader and better dose-response information and subgroup effects Leads to
Slide 26: Integrated Phase 2a with Adaptive Trial Design
ANAVEX 2-73/ ANAVEX PLUS: Integrated Phase 2a with Adaptive Trial Design PHASE 2a STUDY ANAVEX 2-73 Dose A-E Mild-to-moderate ANAVEX 2-73 Dose A-E + Donepezil AD patients Donepezil* No. of Patients: 32 mild-to-moderate AD patients No. of Sites: Up to 7 sites Allocation: Randomized Duration:
Slide 27: ANAVEX 2-73 Completed Phase 1
ANAVEX 2-73 Completed Phase 1 Randomized, placebo-controlled single ascending dose study 22 healthy male volunteers Strong safety profile -No serious adverse event was reported, no study discontinuation -Only at highest doses, observed adverse events included moderate and reversible dizziness
Slide 28: Comparable Companies
Comparable Companies Market Capitalization ($) Development Phase Rationale Avanir Acquired for 3,200M Marketed Sigma 1 Receptor (AVNR) Heptares M1 agonist, Acquired for 400M Phase 1b (Private) Alzheimer’s Prothena 1,000M Phase 1/2 Protein misfolding (PRTA) Prana 60M Phase 2 Alzheimer's Disease (PRAN
Slide 29: Financial Summary
Financial Summary Symbol: AVXL Shares Outstanding: 77.2 million 52-Week Stock Price Range: $0.15-$0.60 Cash @ 3/31/2015: $6.3 million Cash Burn: ~$300K/month 29
Slide 30: Strong Relevant Team Track Record
Strong Relevant Team Track Record Management and Directors Christopher U. Missling, PhD, MBA Tasos Zografidis, PhD Bernd Metzner, PhD Elliot Favus, MD Tom Skarpelos Scientific Advisory Board Abraham Fisher, PhD Jeffrey Cummings, MD Paul Aisen, MD Norman Relkin, MD, PhD Michael Gold, MD Jacqueline Fr
Slide 31: 2015 Progress and Upcoming Milestones
2015 Progress and Upcoming Milestones Secure cGMP manufacturing for drug candidate trial supplies – 3Q 2014 Start Phase 2a study in 2014 Safety and exploratory efficacy Phase 1 full data in Q4 2014 ☐ File IND for non-disclosed rare disease indication by 2H 2015 ☐ Phase 2a – Report preliminary
Slide 32: Anavex Summary
Anavex Summary Lead drug ANAVEX 2-73 and ANAVEX PLUS are currently in a Phase 2a clinical trial for Alzheimer‘s disease (AD) • ANAVEX PLUS is a combination of our proprietary compound, ANAVEX 2-73 and the current standard of care, donepezil (Aricept®) • ANAVEX 2-73 is an orally available small mol
Slide 33: Every 67 seconds someone develops Alzheimer's
“… Today every 67 seconds someone develops Alzheimer’s” ̶ The Alzheimer’s Association Anavex is working on a potential solution. 33
Slide 34: Contact Us
Contact Us Corporate Office: Anavex Life Sciences Corp. 51 West 52nd Street, 7th floor New York, NY 10019 (212) 332 4449 Shareholder & Media Relations: Toll-free: 1-866-505-2895 Outside North America: + 1 (416) 489-0092 Email: [email protected] www.anavex.com OTCQX: AVXL 34
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