Living Values
Management Presentation
Biotest AG
A
August
t 2010
All figures reported relate to the Continuing Operations of the Biotest Group after
the disposal of the transfusion and transplantation diagnostic activities to Bio-Rad
Laboratories Inc. These activities are being reported as Discontinued Operations.
With the exception of the statement of financial position, the previous year´s
figures have been adjusted accordingly.
All comparative figures relate to the corresponding last year´s period, unless
stated otherwise.
Business sectors
Pharmaceuticals Diagnostics
Divisions
• Headquarters in Dreieich/Germany
(Frankfurt area)
• E
Employees
l (FTE)*
(FTE)*: 1
1,828**
828**
Thereof 41% located outside Germany
• Biotest shares:
• 6,595,242 ordinary shares
• 5,133,333 preference shares
• Japan: Tokyo ( )
Production Asia;
Sales 25% EU (w/o
GER); 39%
Biotest AG
* as of August 2010
1946 2010
• Further
u e p price
ce p
pressures
essu es e
expected
pec ed for
o Intratect
a ec aand
d Haemoctin
ae oc
50
• The Group's Plasma Proteins
business grew with 3.2%
24.1 26.5
0
H1 2009 H1 2010
• Robust performance in challenging
business environment
Microbiol. Monitoring
Plasma Proteins
S l Pl
Sales Plasma Proteins H1 2009
P i H1 2009 € 194 3 m
194.3
Volume effect € 20.9 m
Price effect
Price effect € ‐14.6 m
14 6 m
EBIT Pl
EBIT Plasma Proteins H1 2009
P i H1 2009 € 42 7
42.7 m
EBIT from increased volume € 8.7 m
EBIT loss from reduced prices € ‐ 14.6 m
Net changes of other costs/expenses € ‐ 1.2 m
EBIT Plasma Proteins H1 2010 € 35.6 m
H1 2009 H1 2010
Plasma Proteins 42.8 35.6 ‐ 17 %
Biotherapeutics ‐ 8.8 ‐ 10.4 ‐ 18 %
Microbiology 2.5 3.3 + 32 %
Corporate ‐ 5.3 ‐ 4.8 + 9 %
Bi
Biotest Group
G 31 2
31.2 23 7
23.7 ‐ 24 %
24 %
2010 to 2009
EBIT H1 2010 (actual) 23.7 - 24 %
/\ R + D Plasma Proteins 2.1
/\ R + D Microbiology 0.2
/\ R + D Biotherapeutics 1.8
EBIT H1 2010 ( adjusted for
EBIT H1 2010 27 8
27.8 ‐11%
11%
increased R+D
expenses)
Plasma Proteins:
¾ BPC has produced IVIG consistency batches, regulatory expenses
has produced IVIG consistency batches, regulatory expenses
for preparartion of BLA submission
¾ Dreieich: Intensified development of plasma protein projects e.g.
I M C tote t and others
IgM, Cytotect and others
Bi th
Biotherapeutics:
ti
¾ 5 Clinical studies ongoing with BT‐061,BT‐062 and BT‐063
¾ Production Technology transfer of BT‐061 and BT‐062 to Boca Raton
Production Technology transfer of BT‐061 and BT‐062 to Boca Raton
180 163.9
• Successful renewal of working capital
160 facility of € 40 million and new
140 working capital line of € 10 million
120
100
80
• Further financingg available – but at
60 higher interest rates
40 29.9
20 • Purchase price of € 45 million was
0
received on Jan
Jan. 6th 2010
<1 year > 1 year
in € million
- 25.4
45.0
- 1.5
15
- 3.0
18.1
15.1
¾ Therefore the markets will begin to level out beginning from mid 2011
onwords; prices will stablize and the business will continue to grow
Confidence in mid/-
mid/ long
long-term
term growth of plasma proteins products
Plasma
• Market share in relevant markets
(GER AUT
(GER, AUT, CH
CH, GRE
GRE, UK)
UK): 14%
FRACTIONATION
• Intratect® market share in
GER, AUT: > 13%, in UK, CH, I: > 10%
Immuno-
Hyper-
immuno-
Clotting
Albumin
• World market leader with Cytotect®
globulins Factors
globulins
and Varitect®
Hepatect® • Leading position with Hepatect® in
Zutectra®
Intratect®
Cytotect®
Haemoctin® Human- Europe and Nabi HBTM in USA
Pentaglobin® Haemonine® Albumin
Varitect® Biseko
Nabi HB • Zutectra ® launch in Feb. 2010
Infections, Hepatitis B Blood Albumin and • Biotest covers full value creation chain:
immune Cytomegaly coagulation protein plasma sourcing, production, distribution
deficiencies Varicella defects deficiencies
vertical
ti l iintegration
t ti lleads
d tto
= Biotest products = lead indications rationalisation and higher productivity
Company Presentation Biotest AG 26
Major progress in development of Plasma Proteins
Approvals in 13
Hepatect®CP other
th European
E countries
ti
(mutual recognition procedure)
120
100
Europa
Europe
80
USA
60
40
ROW
20
0
2007 2008 2009 2010E 2011E 2012E 2013E
• The IVIG market will continue to grow (5% p.a.), particularly by increased demand
i emerging
in i markets
k t
Source: MRB, Analyst Reports, Biotest Market Research
+6 Mio. L
Collected Source Plas
C
Source: MRB "The Plasma Fractions market in the United States", 2007; PPTA; own estimates
Rest of
World USA 100
30% 41%
50
Europe
0
29%
USA F UK GER
P t V
Paste i ® (albumin)
Albiomin
Albi ( lb i )
Kryo Haemoctin® (factor VIII)
1.5 tonnes* of 4.0 tonnes of
i
immunoglobulins
l b li i
immunoglobulins
l b li * Approval
A l will
ill probably
b bl bbe granted
t d end
d off 2011
** Production in Dreieich and capacities at partners
Stable prices
G d ttolerability
Good l bilit
Prevention of prenatal
cytomegalovirus infection of International phase III clinical trial to
unborn children whose mothers demonstrate efficacy
were infected for the first time
during the pregnancy
Extensive immune screening under
way (up to 20,000 tests)
Administered subcutaneously
(under the skin)
Fast,
F t pain-free,
i f simple
i l and
d safe
f
Developed
p for self-treatment
Reinfection prophylaxis
proph la is
after a liver trans-
plantation due to
hepatitis B infection
Hepatitis
p B immunoglobulin
g ((subcunaneous/ intramuscular))
in neonates
Ph
Phase III trial
ti l
• Intratect® – a premium product concerning Source: Global Insight, MRB, PPTA, APFA
t l bilit *
tolerability
• IVIG available in US 2011
• Speciality Hyperimmunoglobulines:
Hepatect®, Zutectra®, Varitect®, Cytotect®
• sc application: Zutectra®
• Biotest is world market leader in hepatitis B
Hyperimmunoglobulin
*: Poster: "A European, multicentre, open and prospective study on clinical efficacy, safety, and pharmacological properties of Intratect®
(human normal immunoglobulin for iv administration) in patients with primary immunodeficiency (PID)"; E. Bernatowska et al., 2006
10
Increasing global standards of care
• IIncreasing
i global
l b l penetration
t ti off 6
Emerging
hemophilia therapy 4 Markets
prophylaxis treatment 0
Biotest Products
• Haemonine® (Factor IX) introduced in
Source: WFH, PPTA
2008
• Haemoctin® (Factor VIII) contains high
level of von Willebrand factor
• Haemoctin® is stable at RT for 2 years
without artificial stabilisers, sugar free
• Haemoctin® has shown to be efficacious
in FVIII inhibitor therapy
9.8
BT-062 Multiple Myeloma
BT 061
BT-061
Rheumatoid arthritis
Plaque psoriasis
Upside indications
BT-062
Multiple myeloma*
BT-063
2009
SLE 2010
CAGR*::
CAGR 13% 13% 18% 14%
20
17.8
$)
e (bn US$
15 2008
2012
et volume
10
7.8
Marke
10 3
10.3
5 4.7
2.0
2.9 39
3.9
0 1.1
Rheumatoid Psoriasis Multiple Systemic
Arthritis Myeloma Lupus
*Quelle: Datamonitor, Decision Resources, Biotest Erythematosus
*CAGR: Compound Annual Growth Rate
Positioning of BT-061 by new MoA, which translates into superior efficacy and
safety
1) Mode of Action 2) Progressive multifocal leucoencephalopathy 3) Unique selling point *) with respect to individual compounds
Potential
ote t a to pos
position
t o BT-061
06 via
a
• efficacy
• safety
• convenient administration
(self-administration, every other week, 1 ml subcutaneously)
0
mprovemen
-20
2.5 mg iv 25 mg sc 25 mg sc 25 mg sc day 0
day 5
PASI im
80 day 7
60 day 14
day 21
40 day 28
day 42
20
day 56
0 day 75
day 90
Duration of clinical benefit up to 90 days – basis for commercial schedule
Company Presentation Biotest AG 53
Repeated treatment of RA patients with BT-061(monotherapy)
Benchmarking against gold standard of biologic therapy*
50
atients
40 47
41
% of pa
30 33 33 ACR20
20 ACR50
20
10 17 ACR70
10 14 13 7
7 0 0 7 0 10 2 1
0
BT-061 Placebo1) BT-061 Placebo 1) anti-TNF
Humira Placebo
1) Two patients from each completed SC dose group; 2) Only patients that received all treatments over the 6 week periode
3) Phase III trial results of anti‐TNF monotherapy in DMARD non‐responders at week 7 *) Please note: data from independent trials are not directly
comparable as patient characteristics, route of administration, dose levels and treatment frequency are different
Rheumatoid Arthritis,
Arthritis Phase IIb (979)
Goals:
− Confirm/establish superior efficacy and tolerability with larger patient basis
− Establish Proof-of-Differentiation
Design: 175 patients in 3 dose groups, 12 weeks treatment, 12 weeks follow-up
Prior Therapies
• All patients have been
treated with Bortezomib
and at least one
Immunomodulator
• About 70% have been
pre-treated with both
Lenalidomide and
Thalidomide
• More than 50% have
undergone
d an
autologous stem cell
transplantation (ASCT)
Phase I/II: Repeated Dosing / Monotherapy – USA (Recruitment started August 2010)
Goals:
− Selection of commercial treatment scheme
− Establish Proof-of-Differentiation in mono therapy
g
Design:
− Up to 70 patients, open label escalation study with intensified dosage scheme
− Extension cohort of up to 29 patients
Status Phase I
• Dose escalation in healthy volunteers
ongoing
• 23 volunteers treated
• So far study medication well tolerated
BT-061:
• First encouraging clinical data from both lead indications
• Ph
Phase II trial
t i l in
i PPsoriasis
i i started
t t d
• Phase IIb in RA initiated
• Discussion with strategic partners ongoing
BT-062:
• First indications of efficacy from dose-escalating study
• Multiple dose phase I/IIa trial approved by FDA
• Study initiated
BT 063
BT-063:
• Phase I study approved in Sept. 2009
• Treatment at 7th dose level completed (02 2010)
Properties:
• Storage
St att room temperature
t t
• Ready-to-use solution
• Well tolerated (Sugar free)
Clinical trials:
• Patients with a primary antibody deficiency
• Patients with idiopathic thrombocytopenic purpura
(ITP)
Properties:
• Unique
U i iin elimination
li i ti off pathogens
th andd th
their
i
toxins
• Excellent immunomodulator for controlling
inflammation and severe bacterial infections
• Excellent tolerability
Clinical trial:
• IgM-Concentrate
I MC t t in
i clinical
li i l Ph
Phase II:
Further developed IgM-enriched
immunoglobulin
Properties:
• Contains high purity anti
anti-HBs
HBs antibodies
antibodies,
standardised to 50 IU/ml
• Ready-to-use infusion solution, sugar-free
• Natural function and activity of specific
immunoglobulins is preserved
Properties:
• Contains anti-CMV antibodies, standardised
to 50 U/ml with reference to the standard of
the Paul-Ehrlich-Institute
• Natural function and activity of specific
i
immunoglobulin
l b li iis preserved
d
• Ready-to-use solution, sugar-free
Clinical trial:
• Phase III study to prevent CMV infection in
newborns of mothers who acquired a primary
CMV infection duringgppregnancy
g y
• Orphan Drug Designation (Europe, U.S., CH)
Properties:
• High viral safety standard
• Stable for two years at room temperature
• Haemoctin contains a high
g level of
von Willebrand factor (VWF)
• Haemoctin has been shown to be
efficacious in FVIII inhibitor therapy - in
general VWF-containing FVIII
preparations are the first choice in
inhibitor treatment with high dosages of
FVIII.
FVIII
Human Hepatitis B
immunoglobulin for Therapeutic indication:
subcutaneous administration. • Prophylaxis of HBV re-infection after liver
Manufactured from plasma of
transplantation
donors with high anti-HBs
antibody titres.
Properties:
• Subcutaneous administration – ready for
self-administration
lf d i i t ti b by patients
ti t
• Ready-to-use solution in pre filled syringe
• High specific anti-HBs activity of 500 IU/ml
Safe and convenient HBV re-infection
prophylaxis for liver transplant patients
Clinical
Cli i l results:
lt
First subcutaneous • Protective anti-HBs-serum levels achieved
injectable HBIG for self- in all patients in the registration trial with
administration weekly Zutectra ® applications,
applications no HBV re-
infection occured
Company Presentation Biotest AG 76
International myeloma working group
response criteria
Major charcteristics of response criteria*
Progressive Disease (PD) Increase of 25% from lowest response value in any one or
more of the following:
Serum M-component (absolute increase must be
≥0.5g/100ml)c and /or
Urine M-component (absolute increase must be ≥ 200 mg per
24 h)
Stable disease (SD) Not meeting criteria for CR, VGPR, PR or progressive
disease
Minor response (MR) in patients with ≥25% but <49% reduction of serum M protein and reduction
relapsed refractory myeloma in 24 h urine M protein by 50–89%,
50 89% which still exceeds 200mg
per 24 h
Partial response (PR) ≥50% reduction of serum M-Protein and reduction in 24-h
urinary M protein by ≥90% or to <200 mg per 24 h
If the
th serum and d urine
i M-Protein
M P t i are unmeasurable, bl a ≥50%
decrease in the difference between involved and uninvolved
FLC levels is required in place of the M-Protein criteria
Maximum Tolerated Dose (MTD) The highest dose level at which < 2 of 6 subjects experience
a DLT (Dose
(D Li
Limiting
ii T Toxicity)
i i ) iis d
defined
fi d as the
h MTD
MTD.
* according IMWG, International Myeloma Working Group; Source: Kyle and Rajkumar, 2009;
Company Presentation Biotest AG 77
Plasma Proteins: Production process
Virus Safety
1. Plasma Sourcing
Plasmapheresis: Plasma Donor selection
collection Testing of donations
2. Fractionation
From Plasma y
Cryo
Vi
Virus removall
to intermediates Paste II, III Virus removal
Paste V
3. Purification
Virus inactivation
From Intermediates to Final Bulk Virus inactivation
Kedrion 5% • Z t t ® will
Zutectra ill strengthen
t th and
dddefend
f d currentt
strong market position by preventing
Korea Green possible switch to i.m. and future i.v. drugs
Cross 6%
T l
Talecris
i 12% • Further
F th Launches
L Z t t ® and
h ffor Zutectra dNNabi
bi
HBTM already scheduled in attractive world
wide markets
(Marketing Research Bureau, Inc.)