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Farmasøytisk Fagdag 8. Mai 2006 PhotoCure ASA Leadership in Photodynamic Therapy. Contents. PhotoCure ASA - historical background Hexvix – “a breakthrough in bladder cancer diagnosis” Metvix – “treatment of skin cancer with no scars” R&D Acne – need for new treatments
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Farmasøytisk Fagdag 8. Mai 2006PhotoCure ASALeadership in Photodynamic Therapy
Contents • PhotoCure ASA - historical background • Hexvix – “a breakthrough in bladder cancer diagnosis” • Metvix – “treatment of skin cancer with no scars” • R&D • Acne – need for new treatments • PCI Biotech – photochemical internalisation • Pipeline • Pharmacists in PhotoCure ASA • Sum up
PhotoCure ASA PhotoCure ASA is a pharmaceutical company listed on the Oslo Stock Exchange (OSE). The company develops and sells pharmaceuticals and medical devices based on patented photodynamic technologies, targeting selected diseases in dermatology and oncology. *Photodynamic Therapy
Historical milestones 2002 • First marketing application filed for Hexvix 2003 • Galderma’s first Metvix launch 2004 • First marketing authorisation obtained for Hexvix 2005 • Hexvix approved in all EU/EEA countries • Hexvix launched in the Nordic region • Marketing application (NDA) filed for Hexvix in the US 2006 • Hexvix licencing agreement with GE Healthcare • Rights issue of MNOK 191 in net proceeds 1994 • First patent application 1996 • First equity financing 1997 • Recruited first full time employees • Start of formal clinical studies for Metvix 2000 • First marketing application filed for Metvix • Listed on Oslo Stock Exchange • Start of Hexvix clinical studies 2001 • First marketing authorisation obtained for Metvix • Signed global licencing agreement for Metvix with Galderma
Hexvix- a breakthrough in bladder cancer diagnosis Bladder cancer is the 4th most prevalent cancer Hevix is approved for bladder cancer diagnosis in Europe Sold by GE Healthcare, PhotoCure’s licencing partner, and in the Nordic countries by PhotoCure
Hexvix - procedure in the operating room Instillation of Hexvix in the bladder, followed by cystocopy after one hour Mapping of the bladder in white and blue light, biopsies and tumor resection. Preparation of the Hexvix solution One Hexvix kit per patient Bladder picture: Courtecy of Dr. Zaak, Munich
Hexvix - key medical benefits • Hexvix detects 23 % more patients with CIS than standard white light cystoscopy • Hexvix improves patient management in 22 % of patients Source: Jocham D. et al, J Urol 2005; 174:862-866 Scmidbauer, J. et al, J Urol 2004; 171:135-138 Picture: Courtecy of Dr. Zaak, Munich
Skin cancer - a growing problem Skin cancer is the fastest growing category of cancer in women in their 20s and 30s.(1) As the population ages, this could lead to a dramatic increase innon-melanoma skin cancers Strong increase of non melanoma skin cancer in Norway (2) 1. American Academy of Dermatology (AAD) 2. Kreftregisteret 2001
Metvix - mechanism of action Fluorescence shows that the application of Metvix leads to selective porphyrin accumulation in diseased tissue
Metvix - treatment of skin cancer without scarring Approved for AK and BCC in all EU/EEA countries (except France), Australia, New Zealand, Brazil and South Africa. Approved for AK in the US Approved for Bowen’s disease in 22 EU/EEA countries Sold by Galderma, PhotoCure’s licencing partner, and in the Nordic countries by PhotoCure
The Metvix procedure - easy and effective Lesion preparation Metvixapplication Aktilite illumination
Acne - need for new treatments Segment Therapeutic modalities Competitor Highly effective Long term treatment Severe side effects Risk management program US/EU Isotretinoin (eg.Roaccutan) Oral Vitamin-A Oral Antibiotics Moderate effect Long term treatment Resistance issues Oral Antibiotics Acne patient before treatment
Acne - further development • Proof of concept study with 30 patients with moderate to severe acne - Metvix PDT gave a significantly greater reduction in the number of inflammatory acne lesions 12 weeks after treatment. • Phase I/II study ongoing in Canada • Milestones • Start of phase II program in 2006 • Start phase III in 2008
M M S M M Light S S S M S M S M M M S S M M S M M M S S S S M PCI Biotech AS - photochemical internalisation - PCI Biotech is a subsidiary of PhotoCure. - PCI is a light-directed drug delivery technology - developed to introduce therapeutic molecules in a biologically active form specifically into diseased cells. S + light S* photochemical reactions
PCI Biotech AS • Development of a new PCI photosensitiser is progressing • Clinical proof-of-concept studies to be initiated • Collaboration with scientists at the NRH and leading academic groups worldwide • Main target disease is cancer - potentially cardiovascular, eye, skin and autoimmune diseases.
Grete Hogstad – Vice President M & S • Member of management team • Influence on PhotoCure’s way forward • future projects, organisation, resource allocation • Responsible for marketing and sales in PhotoCure, Metvix and Hexvix in the Nordic region • Building organisation and management systems incl. follow-up/coaching • Establishing product and customer strategies, activities and communication • Identifying and building key opinion leader- and customer networks • Cooperation with international licence partners (Galderma, GE HealthCare) • Transfer of knowledge and experience • Plan and co-ordinate activities and future strategies No better place for a curious pharmacist with experience from R&D and sales and marketing • and who needs challenges, • enjoy entrepreneurial work and long working hours
Gry Stensrud – Pharmaceutical Director Ansvar for forskning, utvikling, og produksjon av Drug Products • Forskning og utvikling • Ansvarlig for å fremskaffe formuleringer for nye produktkonsepter og indikasjoner • Ansvarlig for utviklingsstudier (formulering, emballasje, prosess) • Samarbeid med forskningsmiljøer • Ansvarlig for farmasøytisk del (Modul 1, 2 og 3) av regulatoriske søknader (CTX, IND, MAA, NDA) • Produksjon • Ansvarlig for produksjon (ekskl. logistikk) av Hexvix og Metvix • Kvalitet og prosedyrer i samsvar med markeds godkjennelse • Hovedansvarlig for leverandør/CRO kontakt • GMP, oppfølging og gjennomføring av corrective actions av avvik, out-of-spec, recalls, complaints, endringer, annual stability, audits, avtaler etc. • Implementering av endringer i prosedyrer, forbedringer og oppskalering av produksjonen • Qualified Person (QP) Hexvix (under opplæring) • Legalt ansvar for frigivelse av Metvix og Hexvix for Europeisk marked
Bjørn Klem – Clinical Trial Director/Project Manager • Kliniske programmer for nye substanser eller nye indikasjon • Kliniske undersøkelser innen • Farmakokinetikk, Farmakologi, Effekt, Bivirkninger and QoL • Gjennomføre selv / outsource studier • protokoll (Design / metodologi etc.) • pasientskjemaer • søknader og monitere • data håndtering og statistikk • rapportere og publisere • Registrering klinisk dokumentasjon (strategi, møter f.eks EMEA / FDA) • Prosjektarbeide; Kjemi / farmasi / patent / preklinikk • Relasjonsbygging - sykehus, apotek, CRO, laboratorie, partner m.fl. • Markedsanalyser; Presentasjoner møter / kongresser; Budsjett
Sylvia Vetrhus – Clinical Trial Manager (CTM)Marianne Sletsjøe - CTM and Safety Officer • Clinical studies • Regulatory – clinical documentation • Quality Assurance and SOPs • Safety Officer and QP Pharmacovigilance – Metvix and Hexvix • Premarketing • Reporting of expedited SAE (SUSARs) clinical studies • Design safety follow-up in clinical trial and clinical programmes • Postmarketing safety • Collection and reporting of (spontaneous) ADR – Nordic countries • PSURs • Cooperation with licensees (Galderma and GEHC)
PhotoCure ASA • Farmasøyter med varierte arbeidsoppgaver • ”Strong pipeline” – nye spennende prosjekter innen onkologi og dermatologi • Relativt lite forskningsbasert firma • Jobber på tvers av ”avdelinger” - sitter i åpent landskap • ”Outsourcing” – utstrakt internasjonalt samarbeid med forskningsinstitusjoner/ partnere / konsulenter • www.photocure.no