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Proven and Commercial Core Technology To Create Bio Better & Bio Superior Products With Low Risk and Reduced Cost Thomas Sai-Ying Ko Chairman Vital HealthPoint Group Agenda • • Vitapharm IP Bio Better and Bio Superior Sublingual Products – Interleukin 2 • • – • 7/17/2015 Anti Cancer Anti Inflammatory Exenatide ( Byetta®) Corporate Objectives – Alliance with CRO and Bio Pharmaceutical Co. 2 It’s your Choice Vitapharm is currently seeking global alliance opportunities with BioPharma and CRO companies to maximize our sublingual tablet technology potential. Vitapharm’s technology can readily recycle patent-expired products to provide enhanced therapeutic and market potential at lower cost and with minimal risk. Our technology recreates patent-expired biologic actives into patentable, stable and more convenient Bio Better and Bio Superior sublingual tablets without any structural changes to the basic molecule. More than 30 branded biologics worth $51 billion will lose patent exclusivity by 2015 ( Datamonitor, 2011 ). It is estimated to cost an average $100 million and up to 8 years to develop a Bio Similar. 7/17/2015 3 Obstacles in Biological Commercialization Protein Inherently Unstable Delivery Mostly By Invasive Injection Solution Vitapharm CSSR User Friendly Sublingual Tablet Room Temperature Stable ( Bio Better ) Advantages • Expanded Treatment Indications • Improved Efficacy & Reduce Toxicity • New Patent Protection 7/17/2015 ( Bio Superior ) Vitapharm CSSR Technology Biological proteins & peptides 7/17/2015 7/17/2015 CSSR Biocapsule 5 5 Off patent Bio active + Vitapharm CSSR = New Patent Bio Better & Bio Superior 7/17/2015 No change in original protein 6 Global market for biological drugs = US$ 80.56 Billion in 2008 All Injections www.pipelinereview.com • • • • • • Anti inflammatory vaccines = US$16.36 billion Anti cancer vaccines = US$15.59 billion IFN = US$7.95 billion. EPO = US$10 billion. G-CSF = US$5.18billion HGH = US$2.68 billion Ref – Special Edition 1/2009 top 20 Biologics - 2008 Sales of Antibodies & Proteins 7/17/2015 7 Vitapharm China Projects IL2 Calcitonin Thymosine EPO Vitapharm CSSR Technology Exenatide G-CSF IFN HGH 7/17/2015 8 Successful Sublingual Delivery of Interferon For HBV & HCV 7/17/2015 7/17/2015 9 9 Vitapharm Bio Better Vitapharm CSSR Technology IL2 + Anti inflammation 7/17/2015 + + EPO G-CSF Beijing Four Rings BeijingPharma Four Rings Bio-Pharma Injections IL2 Cancer Vitapharm owns 45% equity of Beijing Four Rings Pharma 10 Tom Ko intellectual property Patent applied for • • • • IL2 anti cancer patent IL2 anti inflammatory patent IL2 anti fungal patent Sublingual Slow Release Drug Delivery (CSSR) Patent 7/17/2015 11 Agenda –Interleukin 2 •Anti Cancer • Anti inflammatory 7/17/2015 12 The Cancer Market Estimated Cancer Incidence, Mortality and Prevalence in China and the World in 2002 Cancer Site Incidence Lung Global Mortality Prevalence Incidence China Mortality Prevalence 1,352,132 1,178,918 543,184 396,368 340,360 127,053 Stomach 933,937 700,349 468,503 392,938 308,351 176,015 Liver 626,162 598,321 160,327 345,844 321,851 65,495 Oesophagus 462,117 385,892 175,949 253,752 200,092 89,619 1,151,298 410,712 1,060,042 126,227 36,630 107,198 679,023 221,002 604,506 10,125 5,919 6,112 6,119,944 3,228,693 3,868,991 665,369 387,847 388,225 11,324,613 6,723,887 6,881,502 2,190,623 1,601,050 959,717 Breast Prostate Other TOTAL 7/17/2015 13 Vitapharm Bio Better Vitapharm CSSR technology IL2 Injection is indicted for kidney Cancer and melanoma only New indication + Liver IL2 Cancer New indication Stomach 7/17/2015 Renal Melanoma 14 Summary of ( CSSR IL2 ) Animal Studies (liver, kidney, stomach, lung and skin tumor ) N= 660 Cancer Type % of Tumor Size Reduction IL2 injection 100 IU / dose % of Tumor Size Reduction CSSR IL2 sublingual 100 IU / dose Liver Renal Stomach Lung Melanoma 37% 35% 33% 61% 46% * * 55% 45% * 55% 46% ** 71% Sublingual CSSR IL2 is more effective than IL2 injection in supression of tumor weight. Sublingual delivered CSSR IL2 has no obvious toxic side effects 7/17/2015 * p<0.05 ** p <0.01 15 Poster Number: 125 The Antineoplastic Activities of a Novel Oral Formulation of Interleukin-2 (IL-2) Cytokine Sublingual Delivery System (CSDS) Sen Zhang1, Thomas Sai-Ying Ko2, Ricky Runjiang Qu2, Xiaoguang Chen1, Mark Sullivan2, 3 20th 20 Kingsley Close Rowville Melbourne VIC Australia 3178 Tel: +61 3 97641744 Fax: +61 3 97641900 1 Institute of Materia Medica, Chinese Academy of Medical Sciences, Beijing, China 2 Kambridge Life Sciences, Melbourne, Australia 3 Medicines Development Limited, Melbourne, Australia EORTC/NCI/AACR Symposium, Geneva, Switzerland, 21-24, October, 2008 INTRODUCTION Interleukin2 has been proven to be effective in treatment of metastatic renal cell carcinoma, metastatic melanoma and other cancers. However, IL2 administered by injection has significant side effects. A novel oral (mucosal) formulation for cytokine delivery is being developed for human administration: the tumour growth inhibition efficacy of oral mucosally (muc) administrated recombinant human (rh) IL-2 in mice implanted with melanoma B16, murine renal cancer RENCA, gastric cancer or H22 liver cancer MATERIALS AND METHODS was evaluated. ►Animal Tumor Models www.kambridgelifescience.com.au Tom Ko: [email protected] ► In Vivo Proteins or Peptides Dissolve and Release ► Experimental Endpoint • Body weights and extracted tumor weights recorded after sacrifice Weight of tumor control group – weight of tumor treatment group • Inhibition Rate calculated as the following: Tumor reduction % =--------------------------------------------------------------------------------- Fig. 3. Growth inhibition of murine kidney ( renal ) cancer after treatment by rhIL-2. IR of 10IU and 100IU muc rhIL-2 were 40.9**% and 47.7**%, respectively. IR of 100IU rhIL-2 sc was 32.3**%. Weight of tumor in control group RESULTS Tumour Model Cell Line Animal Species Animal Gender Animal Number Animal weight Liver Cancer H22 liver cancer Kunming female 10/group 18-22g Skin Cancer B16 melanoma C57BL/6 male 10/group 18-22g Kidney Cancer Murine renal cancer RENCA C57BL/6 male 10/group 18-22g Stomach Cancer MFC C57BL/6 male 10/group 18-22g ► Antineoplastic Treatment Groups •No treatment (Control) •Isotonic Saline (Placebo) •Subcutaneous injection rhIL-2 (100IU) •Oral mucosal rhIL-2 (1, 10, 100 or 500IU) ► Microencapsulation of Proteins/Peptides into Tablets by CSDS Significant tumour growth inhibition of muc rhIL-2 occurred in a dose dependent manner (plateau between 10 and 100IU) and was similar to sc rhIL-2 for all 4 cancer models. There was no evidence of toxicity in any animal. Fig. 4. Growth inhibition of murine stomach (gastric) cancer after treatment by rhIL-2. IR of 10IU and 100IU muc rhIL-2 were 27.7**% and 54.5**%,respectively. IR of 100IU rhIL-2 sc was 32.7**%. All the above experiments were repeated once (results not shown). Conclusion All the above results show muc rhIL-2 : Fig. 1. Growth inhibition of murine liver cancer H22 after treatment by rhIL-2. IR was 45.2**% for 10IU muc rhIL-2, 59.5**% for 100IU muc rhIL-2 while 100IU sc rhIL2 IR was 42.8**%. results in significant growth inhibition of liver, renal, melanoma and gastric cancer in the murine model well tolerated and no side effects were observed ADVANTAGE OF CSDS TECHNOLOGY Proteins or Peptides CSDS Biocapsule User friendly dosage from Replace freeze dry technology Improved efficacy Lower production cost Fig.2. Growth inhibition of murine skin cancer (Melanoma B16) after treatment by rhIL-2. IR was 10IU muc rhIL-2 was 44.4**% and 100IU muc rhIL2 was 67.0**%. 100IU rhIL-2 sc IR was 34.0**%. Extended product life cycle Expanded production cost Prolonged patent protection Melbourne Australia CSSR IL2 Sublingual Tablets 7/17/2015 17 Agenda –Interleukin 2 • Anti Cancer •Anti Inflammatory 7/17/2015 18 Global Anti-Inflammatory Market $35.5 billion BBC Research : Therapeutics for Inflammatory Diseases: Current Challenges and Future Market Report Code: PHM048A Rheumatoid arthritis ( RA) $12.25 billion 7/17/2015 19 Vitapharm Bio Superior IL2 Sublingual Tablets as Anti inflammatory Vitapharm CSSR Technology IL2 Sublingual Tab 7/17/2015 Sinusitis Anti inflammatory Rheumatoid Arthritis Psoriasis 20 Sublingual CSSR IL2 Rheumatoid Arthritis Animal Study Swelling Day 23 N=50 Dose given twice daily Swelling Index 6 ** 5 ** ** **P<0.01 cf control ** 4 3 2 1 0 1 2 Control No treatment Sublingual 4000IU/Kg Bwt 3 Sublingual 12000IU/Kg Bwt 4 Injection 4000IU/Kg Bwt 5 Injection 16000IU/Kg Bwt No toxicity observed in any treatment group. IL2 injection or IL2 sublingual significantly reduce swelling and RA effects ** P>0.01 21 Sublingual CSSR IL2 Rheumatoid Arthritis Animal Study RA Index Day 23 N=50 Dose given twice daily 6 5.5 ** RA Index 5 ** ** **P<0.01 4.5 ** 4 3.5 3 2.5 2 1 7/17/2015 Control No treatment 2 Sublingual 4000IU/Kg Bwt 3 Sublingual 12000IU/Kg Bwt 4 Injection 4000IU/Kg Bwt 5 Injection 16000IU/Kg Bwt No toxicity observed in any treatment group. All IL2 treatment cf RA model group p<0.01 day 23 22 Sublingual IL2 provides earlier relief than injection. Higher dose provides best result on day 23 IL2 RA Experiment Markers IL1β(pg/ml) ✔ * IL-6 (pg/ml) ✔ * TNF-α(pg/ml) ✔ * CD4+CD25+:TReg ✔ * P<0.05 cf RA model 7/17/2015 * 23 IL2 as anti inflammatory Global Anti-Inflammatory Market For Rheumatoid Arthritis • Traditional chemical and steroid-based anti inflammatory drugs relieve pain only and do not treat the cause of the disease. • They all have major side effects ( e.g. stomach bleeding & ulcers ). • Receptor based biological treatment slow down the disease : tiw • Market for receptor based treatment was $9.45 billion in last 12 months. • Sublingual IL2 Tablets are a new method to treat the cause of the disease by eliminating the self reactive T cells. • Sublingual IL2 Tablet is ideal for Rheumatoid Arthritis ( RA) , Sinusitis, Prostate inflammation and other chronic inflammatory diseases. 7/17/2015 24 Agenda Diabetic Market 7/17/2015 25 Disadvantage of “Best” Drug Byetta® ( Exenatide) 7/17/2015 26 Exenatide Sublingual Tablet Exenatide CSDS Biocapsule 39 amino-acid peptide Formula: C184H282N50O60S Molec Mass: 4186.6 7/17/2015 27 Da y1 Da y2 Da y3 Da y4 Da y5 Da y6 Da y7 Da y8 Da y9 Da y1 0 Da y1 1 Da y1 2 Da y1 3 Da y1 4 Da y1 5 Da y1 6 fasting plasma glucose level(mmol) Fasting Plasma Glucose Human patient data 14 13 7/17/2015 Metformin Oral Exenatide 12 11 10 9 8 7 6 5 28 Plasma Glucose 2h after meal Human patent data 16.00 Metformin Oral Exenatide 15.00 Plasma Glucose 2h after dinner (mmol) 14.00 13.00 12.00 11.00 10.00 9.00 8.00 7.00 6.00 5.00 Day1 Day2 Day3 Day4 Day5 Day6 Day7 Day8 Day9 Day10 Day11 Contact us Vitapharm Technology Development Co. Ltd. Attention - Thomas S. Ko Chairman & Group Chief Scientist - Vital HealthPoint Group E mail : [email protected] [email protected] Mailing address: Suite 868, Poly Plaza Office Building. 14 Dongzhimen, NanDaiJie, Beijing, P.R. China. 100027. Tel: +8610- 65008667 Fax: +8610-65084084 Office: Four Ring Pharma Building, 5 Jianan Rd., BDA, Beijing, P. R. China. 7/17/2015 30