2nd Oncology Partnering & Deal-making Conference
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Day 1 Day 2
Day 1 - Monday, February 25, 2013
7:00 Registration & Continental Breakfast
7:55 Welcome & Opening Remarks
KEYNOTE PRESENTATION
Moderator: Elizabeth Bachert, Senior Director, Pfizer
8:00 Partnering with AstraZeneca and MedImmune in Oncology


Timothy Herpin

Vice President
Strategic Partnering & Business Development Oncology
Science & Technology Licensing
AstraZeneca
Oncology is a key disease area for AstraZeneca and MedImmune and we are working with many partners to discover and develop novel therapeutics. The presentation will explore how partnerships have been used to access innovation and will address the following questions:

• What is the approach to oncology that AstraZeneca and MedImmune are pursuing?
• How have recent partnerships been structured?
• How does AstraZeneca work with academic institutions to create innovation?
Panel Discussion: Innovative Partnering & Licensing

Moderator: Timothy Herpin, Vice President, AstraZeneca
   
8:45 Panelist: Anne Altmeyer, Vice President, Business Development & Licensing, Oncology, Novartis
Panelist: Klaus Damm, Licensing Director, Amgen
Panelist: Elizabeth Bachert, Senior Director, Worldwide Business Development, Pfizer
Panelist: David Snitman, Chief Operating Officer & Vice President, Business Development, Array BioPharma
Panelist: Matthew Call, Vice President, Business Development, Endocyte
Panelist: Philippe Lopes-Fernandes, Corporate Vice President, Head of Licensing, Business Development & Alliance 
              Management, Merck KGaA

Topics to be Discussed:
  • Oncology drug partnering 101
  • Rationale driving key deals of 2012 and continued trends into 2013
  • Aligning deal structures with corporate strategic goals
  • How the heightened risk environment is affecting deals
  • Pros and cons of regional deal-making
  • At what stage or what type of data makes the asset most attractive to a buyer?
  • How do you find and decide who a good partner is?
  • What determines the value of the deal?
  • What preparation should you do before the deal?
  • What kind of terms besides financials should you think about?
  • What are the criteria to attract investors?
  • Creative partnering appears to be stemming from shrinking R&D budgets at large Pharma and large Pharma interest in sharing risk, how do biotechs feel about sharing funding for projects and sharing risk? How is this balance best achieved?
10:00 Morning Networking & Refreshment Break
Investment, Partnerships and Acquisitions: Trends & Recent Deals

Moderator: Anne Altmeyer, Vice President, Novartis
10:30 Partnering - the View from Biotech
  Martin Buckland, Chief Business Officer, Astex Pharmaceuticals
Partnerships are in the lifeblood of the biotech industry. Biotech companies depend on partnerships both to validate their technologies and products, and to help provide financing and a route to market. This presentation will outline some of the trials and tribulations of partnering, as well as some of the advantages and benefits of partnering, using examples from Astex’s experience.

• How to survive as a private biotech company
• The importance of partnering to help drive financing strategy
• Accessing not-for-profit funding
• Lessons for biotech, and for pharma partners
10:55 Novel Partnering Structures to Advance Pipeline Development
Tracey Vetterick, Director, Business Development, MedImmune
In a budget constrained environment, it is becoming more challenging to develop the breadth and depth of clinical assets needed to better treat patients. This presentation will discuss novel partnering structures to increase development capacity while also bringing beneficial therapeutic combinations to light earlier in the development process.

Benefits of this talk:
1. Importance of partnering to increase therapeutic options available to patients
2. Considerations for how to progress a broad pipeline and gather important data to enable future development decisions
3. Discussion around novel deal structures which have been implemented
11:20 Case Studies in Structuring Partnerships to Build Long Term Value
  David Snitman, Chief Operating Officer & Vice President, Business Development, Array BioPharma
Array BioPharma is a 14 year old biotech company focused on the development and commercialization of oncology therapeutics. Array has built a portfolio of 15 clinical programs, 11 in Phase 2, through selective deal making and partnerships. This talk will review key partnership deals that have been strategic in allowing Array to advance its own internal programs while bring in ~$600M in non-dilutive financing. The structure of several of these deals and their strategic role in Array’s development will be discussed.
11:45 Is It Time to Get Hitched?
  Elan Ezickson, EVP and Chief Operating Officer, Aveo Pharmaceuticals
Biotech companies who are developing late-stage oncology drugs are often faced with the dilemma of becoming a commercial organization or seeking a large partner to launch and market the compound. As this is a critical strategic decision for any biotech company in this situation, it is imperative that all options and potential ramifications are carefully weighed.

This presentation will explore the issues, and potential pros and cons, of striking a commercial partnership vs. “going alone”. How do you balance asset dilution vs. equity dilution? Long-term upside vs. near-term capital risk? Lead asset vs. pipeline? Building an infrastructure for the future vs. leveraging an established infrastructure for the present? Just as the decision to partner is typically neither black nor white, nor is the structure of an alliance. In order to make the “right” decision, both companies must understand the pros and cons of a prospective relationship as well as the individual needs of each company.

Benefits of Talk
• Understand the pros and cons of commercializing vs. partnering with larger companies
• Gain an appreciation for the wide variety of potential deal structures (co-promotes, geographic splits, profit splits, etc.)
• Gain insight into some of the operational challenges of alliances (budgets, pricing, etc.)
• Learn from real world examples of the decision making process
12:10 Lunch on Your Own
1:30 Biotech Partnering: Trends & Recent Deals for Sustaining Biotech Innovation
Eric Risser, Vice President, Business Development, MacroGenics
This presentation will highlight recent trends in biotech partnering models. It will cite some specific examples of recent industry deals, and reference the impact on the various stakeholders in the biotech innovation ecosystem, including venture capitalists, biotech entrepreneurs, and major pharmaceutical companies.
1:55 Business Development: Opportunities to Synchronize with and/or Catalyze Corporate Evolution
  Natasha Hernday, Vice President, Corporate Development, Seattle Genetics
Business development goals and objectives change significantly over the course of a company’s evolution. I will provide an overview of Seattle Genetics’ deal making from inception through the launch of ADCETRIS® (brentuximab vedotin), the company’s first commercial product.

• Internal and external factors that influenced deal making
• Lessons learned from various deal structures
• The shift from out-licensing to current partnering and in-licensing efforts
• Observations from incremental vs. transformational deal making (industry examples)
1:20 Rita (Glykeria) Theodotou, Director, Global Marketing, Oncology, Bayer
2:45 Addressing the Dilemma of Small Biotech: How To Build A Substantial Pipeline with Limited Resources
  Chris Varma, President and Chief Executive Officer, Blueprint Medicines
Small biotech companies with productive product engines, often venture-backed, are challenged to develop robust pipelines because of limited capital. Blueprint Medicines is addressing this issue through the use of creative deal structures called risk-sharing models that leverage non-capital resources of at least two parties. In this context, risk-sharing models enable one party to advance an early program to a later phase with the engagement of a second party. Both parties contribute to the program with their own resources and therefore both parties obtain an ownership interest in the program. If the program successfully reaches a point of higher value creation, then the outcome is a win-win for both parties.
3:10 Afternoon Networking & Refreshment Break
3:40 Teaching an Old Dog New Tricks: Twist on an Anti-viral for Thyroid and Other Solid Tumors
  John Tagliamonte, Chief Business Advisor, Translational Therapeutics, Inc. (TransRx)
The need for targeted treatments of high-grade metastatic cancers has never been greater. TransRx is developing small molecules that will be the first-in-class to target the master switch: ieF4E (4E) While many solid tumors express this control switch at high levels, the company plans to enter the clinic to address Thyroid Cancer. Related clinical evidence supporting safety of the company’s lead molecule and the ability to test, treat and monitor target activity provide hope for a monotherapy. A capital-efficient structure stretches R&D funds to drive a fast and flexible development plan.

Benefits of the talk are:
1. Learn about a new target and new molecule to treat a highly unmet medical need.
2. Hear about developing drugs without traditional venture investment
3. Discuss the companion diagnostic model
4. Find non-dilutive sources of funding
  Oral Presentations from Exemplary Submitted Abstracts
4:05 RX-5902 is An Orally Administered Highly Potent Anti-cancer, First-in-class, Small Molecule
Vikas Sharma, Director, Business Development, Rexahn Pharmaceuticals
RX-5902 is an orally administered highly potent anti-cancer, first-in-class, small molecule that eliminates cancer cells through Inhibition of phosphorylated p68 found only in cancer cells. Studies to date have shown it be effective in solid tumors including melanoma, cancers of ovary, kidney and pancreas. Besides, effects on primary tumors, RX-5902 is also exhibits potent anti-proliferating effects on drug-insensitive or drug-resistant human cancer cells at low nano-molar concentrations and has Synergistic effects with leading anticancer drugs. IND has been submitted and Phase I trials are planned to start early next year.
  Oral Presentations from Exemplary Submitted Abstracts
4:30 Safely Enhancing Brain Drug Delivery in the Treatment of Brain Cancer
Frederik Lonnqvist, Chief Medical Officer, to-BBB
to-BBB is focused on the treatment of CNS diseases. Since 98% of all drugs have a poor blood-brain barrier penetration and many medical needs in CNS diseases are still unmet we have developed a technology that safely and selectively enhances the delivery of various types of small molecule drugs across the blood-brain barrier.  Our lead product (2B3-101) builds on the success of Doxil. Thus, 2B3-101 is a targeted liposomal formulation of doxorubicin that utilizes our G-Technology® platform to enhance the delivery of doxorubicin to the brain. The G-Technology® concept is built upon the conjugation of glutathione onto the tips of the pegylated liposomes, which then actively transports the encapsulated compound across the blood-brain barrier by use of endothelial glutathione transporters.  2B3-101 can be used to treat the same indications as Doxil. The important difference vs. Doxil is that treatment with 2B3-101 results in 5 times higher concentrations of doxorubicin in the brain as compared to Doxil (based on preclinical data). Thereby, 2B3-101 also provides an opportunity to treat primary and secondary brain tumors, in contrast to Doxil. As of mid-January 2013, our phase I/IIa trial with 2B3-101 is at the end of the MTD phase (60 mg/m2 every 3 weeks) and the data look very promising, without any DLTs so far. The side effect profile is in line with Doxil and we are starting to see early signs of preliminary efficacy on brain tumors in the 40, 50 and 60 mg/m2 cohorts in patients with solid tumor brain metastases as well as in patients with recurrent gliomas. We also see signs of preliminary efficacy on the systemic, extra-cranial disease. We will shortly initiate the expansion phase and should be able to provide a more consolidated picture of the safety and efficacy when expansion phase has been completed around August 2013. We have started to actively look for licensing partners for 2B3-101.
4:55 Networking Reception and Poster Session

Day 1 Day 2
Day 2 - Tuesday, February 26, 2013
7:30 Continental Breakfast
Novel Advances & Technologies in Oncology   (Joint Session)

Moderator: Charles Theuer, President & Chief Executive Officer, Tracon Pharma
8:00 Development of Next Generation Angiogenesis Inhibitors Targeting Pathways Other than VEGF
Charles Theuer, President and Chief Executive Officer, Tracon Pharma
Monoclonal antibodies have revolutionized cancer care and four antibodies now have annual commercial revenues of greater than $1B annually. One of these antibodies, bevacizumab, targets the VEGF pathway, which is essential for angiogenesis. Bevacizumab has been approved in two of the most prevalent tumor types and its success has prompted the development of a host of biologics therapies targeting this pathway. Most recently aflibercept, another protein that binds VEGF was approved in colorectal cancer.

While of proven clinical benefit, VEGF inhibitors do not “cure” cancer and efforts have now focused on targets that complement the VEGF pathway to further inhibit angiogenesis and positively impact cancer care. Examples of a second generation angiogenesis targets are endoglin (CD105) and angiopoietin.

The antibody TRC105 binds to endoglin, a target that (like VEGF) is required for angiogenesis, prognostically relevant and expressed within the vasculature of multiple solid tumors. CD105 is up-regulated following the treatment of human cancer xenografts with VEGF inhibitors, indicating that targeting the endoglin pathway may be a useful strategy to combine with VEGF inhibition. TRC105 has been studied with bevacizumab and radiographic regressions have been noted in bevacizumab refractory patients.

The antibody AMG386 binds to angiopoietins and is being studied in several studies of ovarian cancer patients in combination with chemotherapy. Additional studies in combination with VEGF inhibitors are underway.

The goal of the talk will be to review the current state of angiogenesis inhibition in oncology and emphasize antibody therapies directed to targets that complement the VEGF pathway.
8:25 Using FDHT-PET and Preclinical Projections to Optimize Dose Selection of ARN=509 in mCRPC
Isan Chen, Chief Medical Officer, Aragon Pharmaceuticals
Phase I dose selection is a crucial step in the early clinical development. The traditional paradigm of dose escalation until ‘maximum tolerated dose’ (MTD) with cytotoxic chemotherapeutic agents is suboptimal since in most instances, the dose and schedule selection are based on relatively small number of patients and it may or may not be applicable in the clinical development of hormonal or biological agents and TKIs.

The concern about ‘leaving efficacy on the table’ by proceeding to late stage clinical trial with doses below that of MTD may be real; however, there are also examples of agents that required further dose de-escalation studies due to excessive toxicity of the recommended phase 2 dose.

An integrated and careful assessment of preclinical models of maximal antitumor activity with clinical safety, PK and PD can be helpful in optimizing the recommended phase 2 dose with hormonal agents.

An example of the recommended phase 2 dose selection of ARN-509, a second-generation anti-androgen, combining preclinical projections, clinical safety, PK, and maximal PD effect based on FDHT-PET will be presented.

“Benefits’ of the talk:
1. Importance of dose selection in Phase I,
2. Examples of study failures potentially due to wrong selection of dose/schedule,
3. Integration of preclinical and clinical information in the decision process
4. Use of PET scan to support recommended phase 2 dose with ARN-509
8:50 CCR5 Antagonists Block Basal Breast Cancer and Prostate Cancer Metastasis in Vivo
  Richard Pestell, Director, Kimmel Cancer Center & Associate Dean, Cancer Programs, Jefferson Medical College Vice President, Oncology Services, Thomas Jefferson University Hospital, Kimmel Cancer Center, Thomas Jefferson University
  The roles of the chemokine CCL5 and its receptor CCR5 in breast and prostate cancer progression are controversial. Herein, interrogation of microarray analysis of 2,254 human breast cancers demonstrated increased expression of CCL5 and its receptor CCR5, but not CCR3, in the basal and HER-2 genetic subtypes of breast cancer. Human breast cancer cell lines expressed CCR5 by flow cytometry and displayed a functional response to CCL5 by calcium mobilization assays and invasion assays. Using isogenic oncogene transformed breast and prostate cancer cell lines we show oncogene transformation induces CCR5 expression and that the subpopulation of cells that express functional CCR5 display increased invasiveness. The CCR5 antagonists Maraviroc or Vicriviroc, developed to block CCR5 HIV co-receptor function, reduced in vitro invasion of basal breast cancer and prostate cancer cell lines without affecting cell proliferation or viability. In a series of preclinical mouse models, Maraviroc decreased breast pulmonary metastasis. The isogenic prostate cancer cell lines metastasized to bones in immune-competent mice representing an ideal model for testing anti-metastasis therapies. Maraviroc or Vicriviroc, reduced prostate cancer metastasis to brain bones and lungs. Our findings provide evidence for the key role of CCL5/CCR5 in the metastasis of basal breast cancer and prostate cancer cell lines and suggest that CCR5 antagonists may be used as an adjuvant therapy to reduce the risk of metastasis in patients with the basal breast cancer subtype and prostate cancer.
9:15 Development of the First Selective Oral HDAC6 Inhibitor to Treat Multiple Myeloma
  Simon S. Jones, Vice President, Biology & Preclinical Development, Acetylon Pharmaceuticals
  Histone deacetylase (HDAC) inhibitors are efficacious in hematologic malignancies either as single agents or in combination with other antineoplastic agents, for example bortezomib a proteasome inhibitor (PI), in patients with relapsed and refractory multiple myeloma (MM); a plasma B-cell malignancy. Significant progress has been achieved in the last ten years in treating MM with novel therapies such as the PIs bortezomib (Velcade®) and carfilzomib (Kyprolis®) and the IMiD class of drugs lenalidomide (Revlimid®). However the rate of relapse in MM and the need for novel drug combinations remains high.

• HDACs are a family of enzymes which regulate critical cellular functions of a broad spectrum of proteins
• HDAC inhibitors Zolinza® and Istodax® have been approved targeting T-cell lymphoma
• Use of first generation, non-selective HDAC inhibitors has been limited due to the substantial side effect profile of severe fatigue, nausea, vomiting, diarrhea and myelosuppression associated with Class I HDAC inhibition
• Development of potent, isoform-selective, second generation HDAC inhibitors is expected to lead to a breakthrough both in basic biology and broadened utility for oncology

ACY-1215 is the first selective HDAC6 inhibitor in Phase 1 clinical trials for the treatment of MM in combination with either bortezomib or lenalidomide. HDAC6 regulates an alternative pathway to the proteasome to remove unfolded, misfolded and excessive amounts of proteins characteristic of MM. The preclinical and clinical development as well as the superior safety profile of ACY-1215 in MM in combination with either bortezomib or lenalidomide will be discussed.
9:40 Targeting the Pathways Critical to Cancer Stem Cells
  Sunil Patel, Senior Vice President, Corporate Development, Oncomed Pharmaceuticals
  OncoMed is a clinical development-stage biopharmaceutical company focused on discovering and developing first-in-class monoclonal antibody therapeutics targeting cancer stem cells, or CSCs. Our approach has been to target CSCs, which are the subpopulation of cells in a tumor responsible for driving growth and metastasis of the tumor. CSCs, also known as tumor-initiating cells, exhibit certain properties which include the capacity to divide and give rise to new CSCs via a process called self-renewal and the capacity to differentiate or change into the other cells that form the bulk of the tumor. Common cancer drugs target bulk tumor cells but have limited impact on CSCs, thereby providing a path for recurrence of the tumor. Our product candidates target CSCs by blocking self-renewal and driving differentiation of CSCs toward a non-tumorigenic state, and also impact bulk tumor cells.

We utilize our proprietary technologies to (1) identify, isolate and evaluate CSCs, (2) identify and/or validate multiple potential targets and pathways critical to CSC self-renewal and differentiation, and (3) develop targeted antibody and other protein-based therapeutics that are designed to modulate these CSC targets and inhibit the growth of CSCs. These targets are in pathways implicated in cancer biology and stem cell biology, including the Notch, Wnt and other fundamental CSC pathways.

We have five anti-CSC product candidates in clinical development. We are also continuing to pursue discovery of additional novel anti-CSC product candidates. We have forged broad strategic pathway collaborations with GlaxoSmithKline and Bayer HealthCare Pharmaceuticals.
10:05 Morning Networking & Refreshment Break
How Big Pharma Values Your Innovation

Moderator: Charles Theuer, President & Chief Executive Officer, Tracon Pharma
10:30 How AstraZeneca Values Innovation
John Gustofson, Director, Business Development, Strategic Partnering & Business Development, Oncology, AstraZeneca
AstraZeneca is a global pharmaceutical company working in the areas of Oncology, Infection, Cardiovascular, Gastrointestinal, Respiratory, Inflammation and CNS. AstraZeneca is continuously looking for and evaluating both clinical and preclinical oncology opportunities for in-license. Sources of opportunities include academics, biotechnology companies and peer pharma from all over the world. AstraZeneca uses traditional financial evaluations of discounted cash flows and internal rates of return but also utilizes a strategic evaluation called the 5R’s. This 5R assessment includes preclinical data, clinical data and commercial assessment such as payor analysis. This presentation will review AstraZeneca’s methodology of evaluation and details of the 5R analysis. This talk will also compare and contrast how AstraZeneca evaluates early stage opportunities that are in emerging areas of science along with established areas. Finally, this talk will outline how a company with an asset to license should approach AstraZeneca including 1) with what type of data and 2) how to present the data to facilitate rapid evaluation.


Benefits of this talk
• Understanding how AstraZeneca evaluates both preclinical and clinical opportunities
• Knowledge how to pitch an opportunity to AstraZeneca
• Overview of what key oncology opportunities AstraZeneca is looking for
10:55 How to Think About Valuation When You are Seeking a Pharma Partner - A Business Development Consultant's Advice
  Linda Pullan, Business Development Consultant, Pullan Consulting
  When contemplating partnerships (collaborations, JVs, Licensing deals, etc) to advance an early drug candidate, a company naturally asks “how much is this drug candidate worth to a partner?”. Linda Pullan will talk about different techniques, key variables and how to use approximations and short cuts for the hugely uncertain variables. And the partner’s perspective of what adds value will be discussed.
Panel Discussion: Regulatory Guidance & Updates

Moderator: Linda Pullan, Pullan Consulting
11:20 Panelist: Laurie Strawn, Senior Director, Worldwide Regulatory Strategy, Pfizer
Panelist: Isan Chen, Chief Medical Officer, Aragon Pharmaceuticals
Panelist: Graham Robinson, Partner, Skadden Arps

Topics to be Discussed:
  • Accelerated approval opportunities and break through therapies
  • Endpoints for registrational oncology studies
  • Single-arm vs. randomized studies
  • Orphan drug designation
  • Pediatric studies
12:00 Lunch Provided by GTC
1:30 Conference Concludes
Day 1 Day 2
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