Académique Documents
Professionnel Documents
Culture Documents
2
AGENDA
Robert J. Little
Vice President,
President Chief Commercial Officer
Leveraging the Technology Across Multiple Partners
3
Introduction & Strategic Review
4
Halozyme is Well Positioned to Generate
Current and Future Shareholder Value
• Strong technology foundation and pipeline of commercial, partnered, and
clinical stage assets with near-term value drivers
– Partnerships with Roche and Baxter worth up to $724 million
million, plus
royalties; near term launches underway (Hylenex) and anticipated
(Enhanze GAMMAGARD, Roche)
– Proprietary
p ypprograms
g in clinical development
p that could g
generate high
g
value partnerships (e.g., Phase 2 Ultrafast Insulin-PH20 Program)
– Investment in high value but low-cost development activities that
advance programs
g to next value inflection point
• Innovative biotech company with strong biologics capabilities that can help
drive long-term growth
– Scientific focus and expertise in the extracellular matrix (the “Matrix”)
Matrix )
– Expertise in maximizing value from multifunctional Matrix platforms
(rHuPH20, HTI-501, rHuMMP1ts)
– C
Culture
lt off excellence:
ll E
Exceptional
ti l tteam with
ith extensive
t i bibiologics
l i
experience and ability to produce complex recombinant proteins
5
Strong patent
protection and
lif
lifecycle
l
extension
Validation Diversified,
through robust
existing pipeline/
or Partnerss
partnerships portfolio
Novel M
Matrix Thera
Toolbox fo
Halozyme’s
Technology
Increased
De-risked Foundation footprint in high
biological
g growth
g
Biologics T
rapeutics
programs biologics
market
B
Differentiated
Expedited
biologics with
regulatory
best-in-class
pathway
potential
Differentiated Products
6
Existing Alliances Drive Significant Value
7
8
Our Vision
9
Halozyme’s Robust Pipeline of Multifunctional
Platforms Targeting the Matrix
rHuCAT-L
Collagen
g rHuMMP1ts
Other Matrix
Other modifying
y g
agents
Development Stage
10
Our First Multifunctional Enzyme Platform Targets
over $10 Billion in Product Opportunities
Analog-PH20
Phase 2
Roche
g
Biologic#1
Hylenex
Phase 1
for drugs
Phase 4
Roche Biologics
rHuPH20 #2 & #3
Enzyme Phase 1
Hylenex
f fluids
for fl id
Launched
Enhanze
IgG
Insulin-
Phase 3
PH20
Phase 2
Biologics Experience
(Enzymes, MoAbs, Gene Rx)
Expression Systems
(Mammalian, Bacterial, Viral)
13
Halozyme’s Growth Strategy Can Generate
Value Over Multiple Time Horizons
Generate value for
patients and shareholders
Value creation
• Grow partnership and
own product revenue
Develop pipeline of
• Other Matrix drugs
proprietary programs
• Other promising
innovations
• Analog-PH20
• Insulin-PH20
Insulin PH20
Build
B ild revenue
• PEGPH20
generating engine
• PH20 Depot
• HTI-501
• Roche Enhanze
• rHuMMP1ts
programs
p g
• Enhanze
GammaGard
• Hylenex
Time
Capabilities • PH20 drug delivery • PH20 drug development • Commercialization in core TA’s
• Protein engineering • Other Matrix drug alone or with partners
development • Delivery or development of
other promising breakthroughs
14
HALO Pursuing Multi-Billion Dollar Franchise
Opportunities Targeting the Matrix
15
Commercial Opportunities –
Leveraging the Technology Across Multiple
Partners
Robert J. Little
Vice President, Chief Commercial Officer
16
Leveraging the rHuPH20 Technology
Through Drug Delivery Deals
17
Enhanze Technology:
For Partners with Injectable Biologics and Drugs
Value proposition
• Deliver more drug to intended targets
Increased • Allow drugs to work faster
efficacy • Increased volume of drug at each injection
18
Enhanze Technology Platform De-Risked Through
Progress of Roche and Baxter Collaborations
19
Three Partnered Programs Based on
Halozyme’s
Halozyme s Drug Delivery Technology
21
Recent Public Disclosures Reflect Strong
Momentum of Roche-Halo
Roche Halo Progress
24
HYLENEX –
Franchise Potential Could be Worth up to $500M
– Adult hydration
– Ex
Ex-U.S.
U.S. markets
– Delivery of small molecule
drugs (e.g., pain, infection)
• Paradigm shift in ED medical
practice means slow, gradual ED pediatric Successful Total IV
uptake and acceptance visits for ORT procedures
dehydration (incl. ORT
only failures)
Source: Baxter
ORT: Oral rehydration therapy
25
HYLENEX – Clinically Meaningful Rehydration
Demonstrated in INFUSE Peds 1 Study
28
HYLENEX – Fully Resourced Launch in
Pediatric Hydration Underway
29
HYLENEX –
An Emerging Strong Value Proposition
• Enables rehydration
y with less stress for p
parents and children
• Makes infusion simple and efficient
• Facilitates clinically meaningful hydration
• Potentially benefits over 2 million pediatric patients each year in
the U.S. alone
• P
Perceived
i d ffavorably
bl bby 9/10 h
healthcare
lth providers
id compared
d tto IV
• Additional post-marketing clinical data being developed
• Building a new standard of care for rehydration
rehydration, paradigm shift
• HYLENEX safe and well tolerated in clinical experience
30
Strong Alliances Generate Non-dilutive
Cash and Leverage Technology
31
Discovery and Early Development
Pi li Update
Pipeline U d t
32
ECM: Breaking it Down
5 classes of macromolecules
1. Collagens
2. Elastic fibers 3. Hyaluronan
4. Proteoglycans
5. Adhesive glycoproteins
33
rHuPH20 SC
Preclinical
through
Commercial
rHuMMP1ts
Conditional rHuPH20-
Collagenase Intravesical
Phase 2
Discovery
Research
Matrix
Biologics
rHuCAT-L
Conditional PEGPH20
P t i
Proteinase
Phase 1
Preclinical
PH20 Depot
Preclinical
34
How Halozyme is Targeting the Matrix Environment
36
Fibrous Septae:
A Potential Target for Enzymatic Contouring?
Potential
P t ti l Approaches
A h Challenge:
Ch ll
1) Surgical subscision Temporal spatial
2) Enzymatic subscision control of enzyme activity
37
Enzymatic Subscision: Focal Digestion of
Fibrous Septae with Collagenolytic Enzymes
Dimple
TARGET
Fibrous
fibrous septae
Septaecreate dimples
38
rHuCathepsin-L (rHuCAT-L) is a Recombinant
Human Lysosomal Cysteine Endopeptidase
• Cathepsin-L: an enzyme naturally
regulated by an acidic cellular
environment
• Active at acidic pH but rapidly
inactivated at p
physiological
y g p
pH in
the extracellular space
• Very efficient ‘collagenase’ at pH
5 0 (~pH
5.0 ( pH of lidocaine)
ollagen
Type I Co
pH 5.0
T
3 Body
3- Body’ss natural pH in the Matrix
inactivates rHuCAT-L as it diffuses
Adipocytes away from injection site
Fibrous Septae
fibrous septae
create dimples 40
rHuCAT-L Treatment Leads to pH Conditional
Release of Collagen Fragments In Vivo
Rodent perfusion model Porcine model
CATL
C Buffer
B ff Collagenase
C ll
4.0
pH 5 pH 5 pH 7.5
pH 7.4
3.5
grosss
pH 5 0
pH 5.0
3.0
pH 7.4 + CATL
2.5
proline
pH 5.0 + CATL
2.0
Trichrome
e
Hydroxyp
(ug/mL)
1.5
1.0
05
0.5
0.0
septae lysis septae septae lysis
0 min 8 min 16 min
control
41
rHuCAT-L Progressing Towards the Clinic
42
Second Collagenase Program: rHuMMP1ts
(Temperature Specific MMP1 Analog)
MMP1 (Matrix Metalloproteinase 1)
• Prototypical
yp interstitial human collagenase
g
• Selectively degrades interstitial collagens (I/III)
• Little activity towards blood vessel collagen (IV)
• Can temporal spatial enzyme activity be engineered to
increase safety at pharmacologically relevant doses?
ollagen Type I/III
Collagen Type I/III
BacterialControl
Collagenase rHuMMP1
(positive control)
(Dermis H&E)
Co
In situ collagen release In situ collagen release
43
by MMP1 43
By High Throughput Single AA Mutagenesis,
Temperature Specific MMP1 Analogs Identified
structed
Product Concept:
NA’s Cons
i
inactivate
ti t
tsAnalog tsAnalog
Wildtype >40 X 20/37 >40 X 20/37
44
Value of New Matrix Platforms
45
Matrix Target: Hyaluronan in the Tumor Microenvironment
• Tumor extends beyond the cancer cells
• Many tumors contain reactive stromal matrix that facilitates tumor progression
• Treating the tumor as an organ opens up new opportunities for therapeutic
intervention ((beyond
y angiogenesis)
g g )
VESSELS
TUMOR CELLS
STROMA
PEGPH20
Example: Stromal Matrix Occupies Most of the
Pancreatic Cancer Microenvironment
Duct TxN0M0 Duct T3N0M0 Duct T3N0M0 Normal
40x
200x
87% HA High
All HA overexpressing
46% HA High
46% HA High tumors tested in
tumors tested in
xenograft models respond
to PEGPH20 and enhance
activity of chemotherapeutic
49
PEGPH20 – HA Degradation May Represent
A Novel Mechanism for Cancer Treatment
• HA
HA-rich
rich halos found
on many types of
TUMOR aggressive tumors
Halo CELL (breast prostate,
(breast, prostate
pancreatic)
• PEGPH20 collapsesp
+ Enzyme=Halo degraded PEGPH20 HA dependent
HA
pericellular halos on
tumor cells
TUMOR
CELL • Modulates resistance
to chemotherapy
50
Removal of Hyaluronan from the Tumor Matrix
Alters Tissue Structure
PC3 Xenografts (H&E) PC3 Xenografts
X ft (H&E)
PEGPH20
i.v 8hrs
TUMOR
TUMOR WITHOUT HA
WITH HA
PC3 Xenografts (Alcian Blue Stain) PC3 Xenografts (Alcian Blue Stain)
PEGPH20
i.v 8hrs
51
Removal of Hyaluronan from the Tumor Matrix
Rapidly Reduces Tumor Interstitial Fluid Pressure (IFP)
1.2
1.1
umor IFP
0.7
0 7 tumor IFP within
0.6 1st hour
Dosed
0.5
Norm
0.4
D
0.3 + PEGPH20
0.2
0.1
0.0
-20 0 20 40 60 80 100 120
* IM PC3 tumor pressure in tumor bearing mice measured 20 minutes prior and for 2 hours following IV
injection of 10,000 units of PEGPH20 (n=3), or Carrier Buffer (n=3) 52
Combinations of PEGPH20 with Docetaxel or Liposomal
Doxorubicin Demonstrates Significantly Improved Anti-
Tumor Activity 3000
3000
2500
2500 Vehicle
Vehicle
Tumor Volume (mm3)
mm 3 )
PEGPH20 2000
2000 15 mg/kg
Tumor Volume (m
PEG PH20
PEG-PH20
PEGPH20
T
50
40
30
20
10
Tu
0
0 120
PEGPH20 enzyme removes
Time (minutes)
matrix substrate in tumor
53
PEGPH20 + Gemcitabine Shows Activity
D18-Data
(1 Round of Rx)
(%TGI=21% at
BXPC-3 Tumor Line D18)
• HALO++ w/Aggrecan
Tumor Tissue
• HA Stroma+ / Tumor (%TGI=62% at D18)
Cells+
54
PEGPH20 + Erlotinib Shows Activity
D18-Data
(1 Round of Rx)
BXPC-3 Tumor Line (%TGI=27% at D18)
• HALO++ w/Aggrecan
Tumor Tissue
(%TGI=63% at D18)
• HA Stroma+ / Tumor
Cells+
55
PEGPH20 Program - Phase 1 Clinical Trial
56
PEGPH20 Program Summary
57
Stromal Matrix Target: Hyaluronan in Benign
Prostatic Hypertrophy
yp p y ((BPH))
58
HA Distribution in BPH
Basal Cells
Epithelial Cells
Fibroblasts
Smooth
Muscle
Cells
59
BPH Pathogenesis
60
Removal of Prostate Stromal HA Represents
a Novel Mechanism of Action for BPH
Apoptosis of stromal cells following HA removal in rat BPH model
TE 18d
Non- PEGPH20 TE 12d TE 14d TE 16d
TE 7d TE 18d PEGPH20
treated 12d PEGPH20 5d PEGPH20 7d PEGPH20 9d
11d
Apoptotic
cells/section 0 0.8 ± 1.79 4.6 ± 2.51 1.75 ± 1.71 25.6 ± 20.16 36.8 ± 21.99 13.4 ± 5.73 7.8 ± 2.71
Mean ± SD
PEGPH20+Finasteride
0.79 ± 0.17 < 0.0001 41
(2wk) PEGPH20 + Finasteride
61
Next Steps
62
Halozyme’s Unique Scientific Core:
The Extracellular Matrix
63
Ultrafast Insulin-PH20 Program –
Where We are Going
D
Douglas
l B.B M
Muchmore,
h MD
M.D.
Vice President, Endocrinology Clinical Development
64
Halozyme’s Ultrafast Insulin-PH20 Program
65
Goal of Insulin Therapy – Replicate Normal
Physiologic Insulin Response
• Role of fast acting insulin is to replicate normal insulin release response to meal
• Current meal time insulin alternatives are still too slow to accomplish
p this goal
g
Weight gain
• Intensive insulin therapy and hypoglycemia associated with weight gain
Intensive Conventional
100
83 80
80
72
69 66%
60
40 34%
28 31
20
20 17
0
2000 2002 2004 2006 2008
Mea
an (± SEM) Imm
e Insulin (pmo
1250
Lispro+rHuPH20 200
1000
mmunoreactive
100
Mean (± SEM) Im
500 Lispro
50
250 Regular Insulin
L)
M
0 0
Time (min)
Study design
• Stabilize FBS* with glucose/insulin infusion
• Up to 3 dose finding visits to optimize post
post-meal
meal (12 oz.
oz Ensure = 60
gm CHO) glycemic response to Lispro + PH20
• Using “optimized” dose, repeat test meal with Lispro alone
• Repeat using regular Insulin-PH20 and regular insulin alone
Interim data at ADA, New Orleans, June 2009; final data presented
at EASD,
EASD Vienna
Vienna, Oct 2009
increased 50% (p
(p=.0002)*
.0002)
U SEM))
malized
4000
Lispro (N=22)
noreactiv
1000
Faster, greater insulin absorption with greater and earlier peak exposure achieved: Cmax
increased by 41%, p=.0007; Tmax from 49 30 mins, p<.0001 72
PH20 Changes Lispro PK Profile and Leads to
Significant Reduction in Post
Post-Meal
Meal Hyperglycemia
220
EM
200
se SE
180 Lispro
Lispro + PH20
(mg/dL)
Blood Glucos
160
140 ACE Goal
120
100
80
0 60 120 180 240
Time from injection (minutes)
Glycemic response was measured using 60gm CHO liquid test meal; Mean insulin dose = 5.7 U/subject.
73
Phase 2 Regular Insulin-PH20 Data Confirm in
T1DM the PK Effects Observed in Phase 1 Study
5000
ve Insulin
n
Regular
R l IInsulin
li (N
(N=19)
19)
(pmol*kg/L*U SEM)
se Normalized
3000
2000
Dos
Immun
1000
74
PH20 Changes Regular Insulin PK Profile and
Leads to Significant Reduction in Post
Post-Meal
Meal
Hyperglycemia
220 Regular Insulin
se SEM
M
160
140 ACE Goal
120
Blood
100
80
0 60 120 180 240
Time from injection (minutes)
Glycemic response was measured using 60gm CHO liquid test meal; Mean insulin dose = 6.2 U/subject.
75
PK and Glycemic Responses to Test Meal for
Regular Insulin
Insulin-PH20
PH20 versus Lispro Alone
220
5000
ve Insulin
se SEM
200 Regular Insulin+PH20
malized
L)
mmunoreactiv
(mg/dL
3000
Bllood Glucos
Dose Norm
160
ACE
2000 140
Goal
1000 120
Im
100
0
80
0 60 120 180 240 300 360 420 480 0 60 120 180 240
Time (minutes) Time from injection (minutes)
Glycemic response was measured using 60gm CHO liquid test meal
Mean insulin dose = 5.7
5 7 U/subject for Lispro and 6
6.2
2 U for Insulin
Insulin-PH20
PH20
76
PK and Glycemic Excursion Improvements of
Lispro-PH20
Lispro PH20 vs. Lispro Alone are Similar to
Lispro Alone Improvements vs. Regular Insulin Alone
5000
220
Lispro
e Insulin
4000
200 Lispro+PH20
alized
Lispro+PH20 (N=37)
Lispro (N=22)
(N 22) 180 Regular Insulin
Immunoreactive
Dose Norma
3000
(m g/dL)
Regular Insulin (N=19)
160
2000 ACE
140
Goal
1000 120
Blo
100
0
80
0 60 120 180 240 300 360 420 480 0 60 120 180 240
Time (minutes)
Time from injection (minutes)
77
Phase 2 Type 1 Diabetes Meal Study Conclusions
78
Upcoming Ultrafast Insulin-PH20
Data Presentations During 4Q09
• IIntra-subject
t bj t PK/GD variability
i bilit study
t d completed
l t d tto clarify
l if d dose
reproducibility
– Data to be presented at Diabetes Technology Society
79
Efficient Development Strategy to
Maximize Program Value
• Additional clinical studies to further characterize Ultrafast Insulin-PH20 value
proposition prior to starting pivotal studies
– Ph
Phase 1 euglycemic
l i glucose
l clamp
l study
t d comparingi 3 marketed
k t d ffastt
acting analog insulins +/- PH20 (first subject dosing performed)
– Phase 2 standard meal study in T2DM patients (enrollment completed)
• Phase
Ph 3 Enabling
E bli studies:
t di
– Phase 2 3x/day treatment study in T1DM patients comparing
regular Insulin-PH20 to lispro in a 3 month x 3 month crossover design
(initiated 2Q09)
– Phase 2 3x/day treatment study comparing Analog-PH20 to analog alone
(2010)
• Pivotal Phase 3 trials in T1DM and T2DM patients comparing PH20 product
candidate to analog insulin following Phase 2 trials and program review with
regulatory authorities
• Halo prepared to partner or proceed to Phase 3 with most attractive product
candidate (Analog-PH20 and/or regular Insulin-PH20)
80
Ultrafast Insulin-PH20 Goal – Potential Benefits
vs. Standard of Care Analogs
Less hypoglycemia
• Reduced late post-meal exposure (i.e., fast out) may result in fewer
hypoglycemic events
• Lowering insulin dose requirements with PH20 to match glycemic control
of analogs may further reduce hypoglycemia
81
Key Takeaways and Closing Comments
82
Balanced Growth Strategy –
Multiple
p Programs
g Movingg Forward
84
Milestones for 2009
• $5.5 million payment from Baxter for HYLENEX, 1Q09
• Phase 1 underway for second Roche exclusive target, 1Q09
• I iti t d PEGPH20 Ph
Initiated Phase 1
1, 1Q09
• Initiated Insulin-PH20 Phase 2 3x/day treatment study, 2Q09
• Presented Analog-PH20 Phase 2 interim data at ADA
ADA, 2Q09
• $4.25 million payment from Roche for fifth exclusive target, 2Q09
• Completion
p of p
patient enrollment for Phase 3 GAMMAGARD-PH20 byy
Baxter, 3Q09
• Phase 1 underway for third Roche exclusive target, 3Q09
• Presented Insulin-PH20 Phase 2 data at EASD, 4Q09
• HYLENEX launched in pediatric hydration by Baxter, 4Q09
• P
Present
t Analog-PH20
A l PH20 andd Insulin-PH20
I li PH20 variability
i bilit ddata,
t 4Q09
• Initiation of additional Roche clinical trial plus milestone possible
85
Potential Milestones for 2010
• Presentation
P t ti off PEGPH20 preclinical
li i l ddata,
t 2Q10
• Presentation of Analog-PH20 and Insulin-PH20 Phase 1 and 2
studies at ADA,
ADA 2Q10
• Initiation of Analog-PH20 Phase 2 3x/day treatment study, 3Q10
• Completion of PEGPH20 Phase 1 clinical trial
trial, 2H10
• Initiation of PEGPH20 Phase 1b chemotherapy combination clinical
trial, 2H10
• Completion of Phase 3 GAMMAGARD clinical trial by Baxter in PID,
4Q10
• Initiation of additional Roche clinical trial(s) plus milestone(s) possible
• Additional licensing deal(s) possible
• Additional guidance for proprietary programs to be provided in 2010
86
What is Halozyme?
87
HALO’s Unique Investment Thesis
88