Propofol IDD-D
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Transcript Propofol IDD-D
Presentation to
UBS Specialty Pharma conference
Michael Ashton
Chief Executive
24 May 2004
NASDAQ:SKYE LSE:SKP
www.skyepharma.com
UK tel: +44 (0)207 491 1777
US tel: +1 (212) 753 5780
Legal statement
This presentation does not constitute or form part of any offer for sale or subscription or solicitation of any offer to buy or
subscribe for any securities in SkyePharma PLC nor shall it or any part of it form the basis of or be relied on in connection
with any contract or commitment whatsoever. This presentation is only being distributed to persons who fall within Article 8
of the Financial Services Act 1986 (Investment Advertisements) (Exemptions) (No 2) Order 1997 or Article 11(3) of the
Financial Services Act 1986 (Investment Advertisements) (Exemptions) Order 1996, as amended.
This presentation includes certain forward-looking statements with respect to certain development projects, potential
collaborative partnerships, results of operations and certain plans and objectives of SkyePharma including, in particular,
the statements regarding potential sales revenues from Paxil CR, targeted sales revenues from other products both
currently marketed and under development, possible launch dates for new products, and our revenue and profit guidance
for the 2004 financial year. By their very nature forward-looking statements involve risk and uncertainty that could cause
actual results and developments to differ materially from those expressed or implied. The significant risks related to
SkyePharma’s business which could cause our actual results and developments to differ materially from those forwardlooking statements are discussed in SkyePharma’s SEC filings under the caption “Risk Factors”.
SkyePharma reports under UK GAAP. Where US dollar equivalents have been provided for convenience in this
presentation, a fixed exchange rate of $1.78 = £1 has been used throughout. These dollar equivalent numbers do not
imply restatement from UK GAAP to US GAAP.
This presentation was updated on 19th May 2004
2
SkyePharma in brief
UK-domiciled speciality pharmaceutical company
originally founded 1983, IPO 1996
listed London (SKP), New York (ADR, SKYE)
market capitalisation £395/$705 mn
(19 May: 64p/share, $11.80/ADR)
small equity stakes held by GlaxoSmithKline,
Novartis and Kowa
3
Drug delivery – making good drugs better
We normally work on drugs already proven safe and
effective
low risk of clinical failure
short development times
low development cost
contrast with biotech!
We rely on partners for sales and marketing
4
Two business models
Contract drug delivery project
Self-funded project
Example: Paxil CR
Example: DepoDur
Medium
Risk
Low
Return
Low
High
Out-licence stage
Start of project
Late-stage clinical trials
Partner (reimburses SkyePharma)
SkyePharma
$5-10 mn
Modest
$25-50 mn
High
<$10 mn
Low
$50-100 mn
High
3-7%
20-50%
R&D costs
Milestone
payments
Royalty rate
NB much lower than for a NCE
5
A transforming business
Drug delivery
service provider
Developing own
products for outlicence
Integrated pharmaceutical
developer
Nine Ten approved products
FDA approvals validate three of our five delivery technologies
Foradil Certihaler “approvable” letter (Oct ‘03) validates fourth (pulmonary)
Strong clinical pipeline
1 Filed, 4 x Phase III, 3 x Phase II
Changing quality of earnings:
Strategic emphasis on royalty income over upfront milestone payments
Royalty income to replace milestones as main revenue source, driven by
Now: Paxil CR, Xatral® OD/Uroxatral®, Solaraze®, DepoCyt®
Future: Foradil® Certihaler ®, DepoDur, HFA-formoterol, Propofol IDD-D
6
Global infrastructure
London (HQ)
Malmö
Basel
Lyon
Montreal
San Diego
FDA/EMA approved
manufacturing
facilities
Osaka
New York
>400 staff worldwide of
which 50% scientists /
clinical staff
Global business
development coverage
7
Key marketed products
Paxil CR (GlaxoSmithKline)
Xatral OD / Uroxatral (Sanofi-Synthélabo)
8
Paxil CR
– defending the Paxil® franchise
Paxil CR has captured ~8% of the US SSRI
antidepressant prescription market
first US generic competition for Paxil® started
8 September ‘03
a prescription for Paxil CR cannot be
substituted with generic paroxetine…
…but some indirect price pressure
GSK still actively promoting Paxil CR
It is very important to keep the sales effort behind Paxil CR
John Coombe (GSK’s CFO) Feb 2004
despite May ‘04 Appeals Court decision,
GSK still aggressively defending last patent for
Paxil® (expires end-2006)
Paxil CR US sales:
2003: ~$650 mn
2004: ~$800 mn (est – likely peak)
Q1’04: $180 mn (+37%)
SkyePharma royalty rate: low single digits
expect increase from start of US generic competition
9
®
Xatral OD/Uroxatral
®
Sanofi-Synthélabo
Once-daily Geomatrix formulation of
alfusozin
uroselective alpha-blocker
indication: urinary symptoms of BPH
On market in Europe & ROW since 2000
replacing multidose versions
Xatral/UroXatral sales trend 1996-2003
250
US launch
Nov '03
200
EU launch
Apr '00
USA: Uroxatral
new product on US market
launched to urologists Nov ’03
launched to primary care Mar ‘04
two USPs:
• uroselection (no postural hypotension)
• no ejaculatory side-effects
AUR indication: approved Europe; Ph III US
2003 world sales €222 mn (+25% CER)
Q1’04 world sales €72 mn (+50% CER)
2006 forecast: €500 mn (Sanofi-Synthélabo)
SkyePharma royalty rate: mid-single digits
Sales € mn
150
100
50
0
1996
1997
1998
1999
H1 RoW
H1 US
2000
2001
2002
2003
FY RoW
FY US
10
Three key near-term
pipeline products
DepoDur (previously DepoMorphine)
Foradil Certihaler
Propofol IDD-D
11
DepoDur
US:
Europe:
Endo, Medeus
approved by FDA 18 May ‘04
filed Nov ‘03 (UK, then mutual recognition procedure)
Clinical trials (~1000 patients) highly statistically significant
hip/knee surgery, lower abdominal surgery, caesarean section
Sustained-release morphine for relief of pain after surgery
given as a single epidural injection before/during operation
morphine released evenly over 48 hours (period of peak post-op. pain)
minimizes breakthrough pain
with conventional PCA, patient must react to pain
no need for catheters and infusion pumps (= savings for hospital)
Disadvantages of conventional morphine
effective analgesic – but short-acting
repeat doses need a catheter and an infusion pump
catheter problems main barrier to wider use of epidural analgesia
epidural route desirable (delivers direct to brain, needs less morphine than IV)
12
DepoDur - potential market
knee replacements &
revisions
~12 million key target surgeries a
year across the US and major Europe
hip replacements &
revisions
surgeries associated with an ageing
population are growing at 6-7% per
annum
major abdominal surgery
market research indicates potential
for 25% - 40% patient share in major
territories. Assumes pricing equivalent
to IV PCA or epidural infusion ($125 per
surgical procedure)
cesarean sections
thoracic
vascular
sales potential: $250+m
exploring scope for premium pricing
13
DepoDur - potential endorsed
USA/Canada
$120m milestone deal with Endo Pharmaceuticals (Dec ‘02)
rights for DepoDur and Propofol IDD-D
option on related pipeline products including DepoBupivacaine
SkyePharma bears development, manufacture costs
Endo bears marketing costs
SkyePharma’s share of sales 20-60%
based on combined sales of DepoDur and Propofol IDD-D
>50% share if combined sales >$250 mn
Europe
€100+m milestone deal with Medeus Pharma (Mar ’04)
rights for DepoDur only throughout Europe
SkyePharma bears development, manufacture costs
Medeus bears marketing costs
SkyePharma share of sales 35-50%
50% share reached at sales well below €100 mn
Rights for rest of world still available for licence
14
Foradil Certihaler Novartis/Schering-Plough
Active ingredient formoterol
fast-onset, long-acting bronchodilator for asthma
recent major study on maintenance use of formoterol raises value
SkyePharma developed both Certihaler device and formulation
formulation keeps powder dry, ensures accurate consistent dose
now also being used in second collaboration with Novartis (QAB149)
Schering-Plough to market in key US market, Novartis elsewhere
Filed US & Europe Dec ‘02 (launches expected in H2 ‘04)
FDA “approvable” letter issued Oct ’03
European approvals 2004 (Switzerland, Austria, Finland….)
SkyePharma return on sales: ~10% (royalty + manufacturing return)
15
Propofol IDD-D
Endo, SkyePharma
improved version of AstraZeneca’s injectable anaesthetic Diprivan
SkyePharma’s formulation unique - cannot support microbial growth
no need for a preservative
2% emulsion (= lower injection volume and less lipid)
not a generic
designed for continuous uninterrupted 24-hour sedation
ICU sedation is fastest-growing segment of Diprivan market
Ph II completed ($5 mn milestone payment from Endo)
Ph III to start Q2’04; target filing: 2005; target launch: 2006
North America: Endo (same terms as DepoDur)
Europe/Japan: licensees to be appointed
est. sales potential for Propofol IDD-D: ~$200 mn
16
Well-stocked pipeline
licence or partner
ORAL
product
GlaxoSmithKline
Sanofi-Synthelabo
Roche
Therabel
Mundipharma
Ratiopharm
GlaxoSmithKline
Critical Therapeutics
Merck KGaA
Kowa
Undisclosed
King
Paxil CR
Xatral OD
Madopar DR
Coruno
Nifedipine
Diclofenac
Requip
zileuton
Undisclosed
Statin NK-104
Undisclosed
Altace
feasibility
Ph.I
Ph.II
SkyePharma
Ph.III
filed
Client products
approved
marketed
PULMONARY
Novartis
AstraZeneca
SkyePharma
Novartis
SkyePharma
Foradil Certihaler
Pulmicort HFA
Formoterol HFA
QAB 149
Formoterol Combi
INJECTABLE
Enzon/MundiPharma/Nippon S’yaku
Endo / Medeus
Astralis *
SkyePharma
SkyePharma
GeneMedix
Chugai
DepoCyt
DepoDur
Psoraxine *
DepoBupivacaine
HGH
Interferon alpha-2b
Undisclosed
* SkyePharma has an option on world rights for PsoraxineTM, exercisable at the end of Phase II
TOPICAL
Quintiles/Shire
Trigenesis
Solaraze
Multiple
Status is most advanced project
SOLUBILISATION
SkyePharma
Endo / SkyePharma
SuperGen
Baxter
Fenofibrate
Propofol IDD-D
Busulfan
Multiple
17
2003 results summary
2003 loss primarily due to delays in completing 3 key new
agreements
milestone payments £24m vs £48m in 2002
royalty income nearly tripled
since year-end, two key deals signed on excellent terms
DepoDur / Medeus
undisclosed pipeline product / First Horizon
dermatology package also outlicensed April ‘04
commercial terms agreed for pulmonary package - with
partner of choice
subject to due diligence
£20m convertible bond issue completed
18
2004
performance will depend on timing and structure of deals
deliberate strategic shift away from upfront payments to longer-term milestone
payments and higher share of profits
short-term impact on revenues and cashflow
expect further substantial increase in royalty income
2004-05 diminishing dependence on milestones
further guidance to be issued once key deals completed
19
Newsflow 2003 – most targets met
Filings
DepoMorphine US
DepoMorphine Europe
Paxil CR Social Anxiety
– FDA approval 17 Oct
Paxil CR PMDD intermittent
(Paxil CR PMDD continuous – FDA approval 2 Sep)
Corporate & commercial agreements
European licensing of DepoMorphine™
European licensing of Propofol IDD-D™
European licensing of DepoCyte
Licensing of Pulmonary products
Licensing of Dermatology products
Micap floated on AIM
“approvable” 22 Oct
Licensing deal with King – Altace
Product approvals/launches
Uroxatral US
DepoCyte Europe
Foradil Certihaler US
Clinical trial progression
Requip
Propofol IDD-D
Propofol IDD-D
Pulmicort HFA-MDI
Psoraxine™ (Astralis)
Ph III start
Ph II end
Ph III start
Ph III start
Ph I start
Clinical data publications
DepoMorphine Ph III
Foradil DPI Ph III
Uroxatral Ph III
20
Key deals outstanding
European rights for DepoDur
licensed to Medeus Pharma Mar ’04
€100+ mn of milestones and 35-50% share of sales
deal terms illustrate strategic drive away from upfronts to higher share of profits
dermatology package
licensed to Trigenesis Apr ’04
non-core products, pipeline and topical delivery technologies
$20+ mn in milestones and 10% royalty (35% of sublicence income)
undisclosed cardiovascular pipeline product
licensed to First Horizon May ’04
$50 mn in milestones + 25% net royalty
pulmonary package
formoterol MDI, formoterol/fluticasone MDI, budesonide MDI (US rights)
significant external/internal developments led to rejection of substantial offer late ’03
commercial terms agreed with partner of choice April ’04 (subject to due diligence)
alternative partners also at due diligence stage
21
Newsflow 2004 – further progress
Filings
Requip OD Europe (US 2005)
Licence agreements
DepoMorphine (Europe)
Pulmonary product package
Unnamed pipeline product
Dermatology assets
Propofol IDD-D (Europe)
DepoBupivacaine (Europe)
Clinical data publications (by partners)
DepoMorphine Ph III
American Pain Society, Vancouver 6-9 May
Foradil Certihaler Ph III
Uroxatral Ph III
Product approvals/launches
Paxil CR PMDD intermittent US
DepoDur US
FDA approved 18 May
DepoDur UK
Launch of DepoCyte Europe
Foradil Certihaler US
FDA “approvable” Oct ’03
Foradil Certihaler Europe
Clinical trial progression
Propofol IDD-D
Formoterol HFA-MDI
Formoterol+fluticasone HFA-MDI
Zileuton (Critical Therapeutics)
Psoraxine (Astralis)
DepoBupivacaine
Ph III start
Ph III start
Ph II/III start
Ph III start
(COPD)
Ph II start
Ph II start
22
Investment highlights
Strategic focus on royalties rather than upfront payments
Ten FDA-approved products validate drug delivery technologies
Changing quality of earnings driven by royalties from
Paxil CR, Xatral® OD/Uroxatral®, Solaraze, DepoCyt®
- with Foradil® Certihaler®, DepoDur, HFA-formoterol &
Propofol IDD-D close behind
Strong near-term clinical pipeline
1 Filed, 4 x Phase III, 3 x Phase II
Two major product launches expected in H2 ’04
23
Investor relations contacts:
London
Peter Laing, Director of Corporate Communications
44-(0)207-491-1777
[email protected]
New York
Sandra Haughton, US Investor Relations Manager
1-212-753-5780
[email protected]
…and please visit our website
NASDAQ:SKYE
LSE:SKP
www.skyepharma.com