Hutchmed (china) Limited · HKEX:13
Hutchmed (china) — Hutchison China MediTech (Chi-Med) — Investor Presentation (January 2020)
117 slides from Hutchmed (china)'s investor presentation, January 2020
Slide 1: Corporate Presentation
Corporate Presentation January 2020 AIM/Nasdaq: HCM
Slide 2: Safe harbor statement & disclaimer
Safe harbor statement & disclaimer The performance and results of operations of the Chi-Med Group contained within this presentation are historical in nature, and past performance is no guarantee of future results. This presentation contains forward-looking statements within the meaning of the “safe
Slide 3: Agenda
Agenda 1 Company Overview P4 2 Operating Highlights P12 3 Financial Highlights, Cash & Guidance P44 4 Summary P47 5 Appendix P52 3
Slide 4: Company Overview
1 Company Overview
Slide 5: Building a global science-focused biopharma company from an established base in China
Building a global science-focused biopharma company from an established base in China… Global Innovation 5 clinical drug candidates in US/EU development Building global clinical development footprint World-class ~500-person scientific team China Oncology Major market potential driven by regu
Slide 6: Proven innovation & commercial operations
Proven innovation & commercial operations Industry / Chi-Med Management Team (years) Integrated Innovation Organization [1] Mr. CHRISTIAN HOGG, BSc, MBA US Office 30 / 19 Analytical 3% Medicinal Chief Executive Officer Chem. 11% Chem. 8% Dr. WEIGUO SU, PhD Pharmacology 4% 29 / 14 Process EVP, Chief
Slide 7: Portfolio summary
Portfolio summary Multiple waves of innovation – progressing rapidly Dose Finding / Proof-of-Concept Registration Intent Marketed Safety Run-In Fruquintinib + Tyvyt (PD-1) Savolitinib Savo + Tagrisso (SAVANNAH) Elunate (Fruquintinib capsules) Solid Tumors [1] MET Exon 14 deletion NSCLC 2L/3L Tagriss
Slide 8: Potential 2020 upcoming events
Potential 2020 upcoming events 2019 H1-20 H2-20 Savo + Imfinzi® Savo Savo + Imfinzi® Savo + Tagrisso® Savo NSCLC + RCC + GC Papillary RCC (CALYPSO) 2L gastric (VIKTORY) Papillary RCC (CALYPSO) NSCLC (SAVANNAH) Anticipate further Ph. II Interim Data Ph. II Data Ph. II Data Update Ph.II Interim* Ph.II
Slide 9: Global clinical drug portfolio (1/2)
Global clinical drug portfolio (1/2) Savolitinib (c-MET) Fruquintinib (VEGFR1/2/3) Potential First-in-class small molecule selective MET inhibitor Potential Best-in-class small molecule selective VEGFR 1/2/3 inhibitor Indications: MET-driven NSCLC; RCC; Gastric; Prostate cancer Indications: Colorect
Slide 10: Global clinical drug portfolio (2/2)
Global clinical drug portfolio (2/2) Surufatinib (VEGFR, FGFR1, CSF-1R) HMPL-523 (Syk) HMPL-689 (PI3Kδ) Potential First-in-class small molecule Potential Best-in-class small molecule Unique small molecule VEGFR 1/2/3, FGFR1 & CSF-1R inhibitor selective Syk inhibitor selective PI3Kδ inhibitor Neuroen
Slide 11: Important milestones in Chi-Med's evolution
Important milestones in Chi-Med’s evolution Innovation Discovery China Registr. & China Launches & Start-up & M&A Platform Global Early Dev. Expanding Global Registration 2000 - 2005 2006 - 2010 2011 - 2016 2017 - 2018 2019 2017 NSCLC PoC data WCLC Savo + Tagrisso® Global license deal savo. + Tagris
Slide 12: Recent Operating Highlights
2 Recent Operating Highlights
Slide 13: Recent Operating Highlights
Recent Operating Highlights Savolitinib Reached enrollment goal on Phase II registration study – MET Exon 14 deletion NSCLC; AstraZeneca collaboration leading global position in EGFR-TKI resistant NSCLC; Emerging signal for savolitinib/Imfinzi® (PD-L1) combo – renal cell carcinoma. Surufatinib
Slide 14: Other Recent Operating Highlights
Other Recent Operating Highlights B-cell malignancies / non-Hodgkin’s lymphoma HMPL-523 (Syk) – >150 patients dosed in China/Australia Phase I/Ib; to guide registration strategy in late 2019; HMPL-689 (PI3Kδ) – Phase II dose selected in China & expansion underway; US/EU Phase I 1st patient dos
Slide 15: AstraZeneca and Chi-Med: Savolitinib
AstraZeneca and Chi-Med Harnessing the power of Chinese Innovation Savolitinib 2a
Slide 16: Savolitinib: Biggest opportunity is MET+ NSCLC
Savolitinib Biggest opportunity is MET+ NSCLC Primary NSCLC Resistance-driven EGFRm+ NSCLC All Iressa/Tarceva patients relapse Median PFS 9-10 months. 1.8 million NSCLC patients per year MET+ MET+ ~6% Other ~10% Other EGFRm (T790M-) MET+ / ~30% T790M+ MET+ SCLC/ ~6% ~30% Unknown Unknown Unknown 1st
Slide 17: Savolitinib – MET Exon 14 deletion NSCLC
Savolitinib – MET Exon 14 deletion NSCLC [1] Potential China NDA submission in 2020 [2] 4. Encouraging MET Exon14d NSCLC Brain MRI …8 weeks later …32 weeks later study China data at AACR 2019 [3] before treatment… on savolitinib… on savolitinib… 41 pts; 31 pts efficacy evaluable. Promising antitumor
Slide 18: Tagrisso + savo in EGFR TKI refractory NSCLC
Tagrisso® + savo in EGFR TKI refractory NSCLC TATTON B & D data – efficacy TATTON Part B TATTON Part D osimertinib 80 mg osimertinib 80 mg + savolitinib 600 mg [1] + savolitinib 300 mg Part B1 (n=69) Part B2 (n=51) Part B3 (n=18) Part D (n=36) Prior third-generation No prior third-generation No prio
Slide 19: TATTON B & D data – ORR
TATTON B & D data – ORR Tagrisso® + savolitinib in EGFR TKI refractory NSCLC 100 100 Part B2 – savolitinib 600 mg [1] Part D – savolitinib 300 mg 75 75 No prior third-generation EGFR-TKI, T790M negative No prior third-generation EGFR-TKI, T790M negative Best percentage change from baseline in target
Slide 20: TATTON B & D data – PFS
TATTON B & D data – PFS Tagrisso® + savolitinib in EGFR TKI refractory NSCLC 1.0 Median (range) duration Median PFS, of follow-up in censored 0.9 months [95% CI] patients, months 0.8 Part B1 0.7 Prior third-generation EGFR-TKI; 5.4 [4.1, 8.0] 2.6 [0.0–27.3] progression-free survival 0.6 (600 mg [1]
Slide 21: TATTON B & D data – AEs & tolerability
Tagrisso® + savo in EGFR TKI refractory NSCLC TATTON B & D data – AEs & tolerability Event, n (%) All Part B (n=138) Part D (n=42) osimertinib 80 mg osimertinib 80 mg + savolitinib 600 mg [1] + savolitinib 300 mg [1] Any AE 135 (98) 39 (93) Any AE possibly related to savolitinib 115 (83) 25 (60) AE
Slide 22: TATTON B & D data – AEs & SAEs
TATTON B & D data – AEs & SAEs Most common AEs[1] independent of causality & SAEs (≥3%)[2] All Part B (n=138) Part D (n=42) All Part B (n=138) Part D (n=42) AE*, n (%) AE*, n (%) All grades Grade ≥3 All grades Grade ≥3 All grades Grade ≥3 All grades Grade ≥3 Nausea 67 (49%) 4 (3%) 13 (31%) 0 Rash 26
Slide 23: SAVANNAH – global registration intent study
Tagrisso® + savo in EGFR TKI refractory NSCLC SAVANNAH – global registration intent study Addressing resistance with combinations SAVANNAH (NCT03778229) 1st Line Metastatic 2nd Line+ Metastatic Phase II single-arm study: Global – N. & S. America, Eur., & Asia. AURA3 Primary endpoint ORR. IPASS
Slide 24: Savolitinib in papillary RCC
Savolitinib in papillary RCC Important data planned at ASCO 1. Could MET + PD-L1 inhibition be synergistic? 3. PD-1/PD-L1s important in non-ccRCC but need to see mature mPFS/mOS & further biomarker analysis [1] Synergistic benefit TT + IO Savo mono. Survival (%) MET+ All lines: (n=44) Additive benef
Slide 25: Surufatinib: angio-immuno kinase inhibitor
Tumor-associated macrophages Mechanism of Action ` Anti-angiogenesis: cut off blood flow to tumor (VEGFR/FGFR). Immunotherapy: inhibit T-cells expression of tumor- associated macrophages which cloak cancer cells from T-cell attack (CSF-1R). Angiogenesis Surufatinib: angio-immuno kinase inhibitor 2
Slide 26: Surufatinib
Surufatinib Potentially our first un-partnered oncology drug launch Two Phase III neuroendocrine tumor (“NET”) registration studies... 25 China sites. SANET-ep Surufatinib Non-pancreatic NET Met all efficacy endpoints 1° endpoint: median PFS. (Actual N=198) R 2:1 Placebo Well tolerated 2°
Slide 27: Surufatinib – China NET
Surufatinib – China NET Non-Pancreatic NET estimated to represent ~80% of China NET Epidemiology – China NET & BTC patient populations Potential Annual Estimated NRDL Pricing First suru Incidence Prevalence mPFS References monotherapy China NET 100% 67,600 ~300,000 indication Non- (Est. China ratio[
Slide 28: Surufatinib – China NET
Surufatinib – China NET NET potential ~$100-120m/yr. – under treated/diagnosed Competitive landscape – China NET treatments [1] Brand Indication/s Launched 2017 2018 Q1-2019 SUTENT® Pancr. NET 2007 Sales (US$ million) 27 24 7 (sunitinib – VEGFR) (& GIST/RCC) NRDL Pfizer List Price (US$/month) 4,455
Slide 29: Surufatinib: Overview of NET
Surufatinib Overview of NET – ~170,000 patients in the U.S. [1][2][3] What are neuroendocrine tumors (“NET”)? NET growth – better diagnosis ~2% of all malignancies. Incidence per 100 000 for All Malignant Neoplasms Incidence per 100 000 for Neuroendocrine Tumors Tumor begins in the specialized
Slide 30: High-level NET landscape
High-level NET landscape Long-term disease – rapid deterioration in later stages [1][2][3] Grade 1 (G1) NET G1/2 – Advanced NET G3 – NET/NEC Localized / Regional Regional / Distant Distant ~8-35% NET patients – Somatostatin Analogue ~60% NET patients – first No approved Functional NET – Treatment –
Slide 31: G1/2 Advanced NET
G1/2 Advanced NET [1] (Ki-67 Index 0-20) Global opportunity in lung/other NETs & China wide-open Site Site 177177 est.est. % % Octreotide Octreotide Lanreotide Lanreotide Lu-Dotatate Lu-Dotatate Streptozocin Streptozocin Sunitinib Sunitinib Everolimus Everolimus Surufatinib Surufatinib Progressed Pr
Slide 32: SANET-ep vs. RADIANT-4 – cannot compare
SANET-ep vs. RADIANT-4 – cannot compare SANET-ep broader range of tumor origins & later-stage patients Asia/China SANET-ep U.S. RADIANT-4 Extra- (n=198) Extra- (n=302) SANET-ep Enrolled more pts with poor prognosis. Pancreatic (surufatinib vs Pancreatic (everolimus vs placebo) placebo) Survival Rate
Slide 33: G1/2 Advanced extra-pancreatic NET
G1/2 Advanced extra-pancreatic NET Investigator assessed median PFS SANET-ep [1] (n=198) RADIANT-4 [2] (n=302) Surufatinib: 9.2 months (95% CI 7.4, 11.1) Everolimus: 14.0 months (95% CI, 11.24-17.71) 1.0 Placebo: 3.8 months (95% CI 3.7, 5.7) 1.0 Placebo: 5.5 months (95% CI, 3.71-7.39) HR[3] = 0.334
Slide 34: Very different mechanism of action
Very different mechanism of action Everolimus inhibits mTOR and blocks the effects Surufatinib inhibits VEGFR1/2/3 and FGFR1 blocking caused by the loss of certain genes thereby vascular cell growth and angiogenesis; as well as reducing cell growth, proliferation, CSF-1R which limits the production
Slide 35: Surufatinib efficacy post everolimus failure
Surufatinib efficacy post everolimus failure U.S. Phase Ib (n=15) – pNET duration of treatment PR Confirmed PR (n=2) 12 3.1 uPR Unconfirmed PR (n=2) 2 4.8 Treatment ongoing (n=9) 3 3.7 PR X Rx stop – AE (n=2) X Rx stop – PD (n=4) 18 4.1 X 7 5.4 surufatinib 4 6.4 X uPR everolimus 2 6.4 PR Other Tx 6
Slide 36: Surufatinib: Life cycle indications & other ongoing trials
Surufatinib Life cycle indications & other ongoing trials Phase IIb/III study in 2L BTC First patient dosed in March 2019; Nearly all planned sites now activated; Interim analysis mid-2020, based on first 80 patients; Total enrollment ~300 patients. PD-1 collaborations With Junshi (Tuoyi®)
Slide 37: Elunate (fruquintinib capsules)
2c Elunate® (fruquintinib capsules)
Slide 38: NRDL – highly competitive price
NRDL – highly competitive price Epidemiology Launch pricing [3] National Reimbursed Drug List (NRDL) China Annual Incidence Launch pricing (OOP [4]) 2019 NRDL released by China’s National Healthcare 380,000 patients [1] ~US$ 3,260 per cycle Security Administration (“NHSA”) (RMB 21,966 per cycle) ● A
Slide 39: H1 2019 performance
H1 2019 performance Elunate® Performance Sales (millions) [1] Total Cycles (OOP&PAP) [2] Chi-Med Revenue (US$ million) 12 8,000 H2-2018 H1-2019 10 $11.4 Manufacturing [3] $3.3m $3.0m (RMB 77.1) 6,000 ~6,850 Royalty 0.3 1.7 8 Total HCM Revenue 3.6 4.7 6 4,000 4 2,000 2 $1.7 ~680 (RMB 12.0) 0 0 H2-201
Slide 40: China VEGFR landscape
China VEGFR landscape Competitive landscape – small molecule VEGFR TKIs Brand Indication/s Launch 2011 2012 2013 2014 2015 2016 2017 2018 Q1-2019 STIVARGA® 3L CRC /2L GIST May 2017 Sales (US$ million) [1] 5 21 20 (regorafenib) 2L HCC Mar 2018 NRDL List Price (US$/mo.) 4,368 2,352 Bayer AG Oct-18 NEX
Slide 41: Elunate Efficacy advantage
Elunate® Efficacy advantage FRESCO [1] CONCUR CONCUR CORRECT Third-Line Metastatic Colorectal cancer Chinese Patients (Mainland China, Mainland China, Hong Kong, Mainland China Global Hong Kong, Taiwan) [2] Taiwan, Vietnam, South Korea Treatment arms Elunate® Placebo Stivarga® Placebo Stivarga® Plac
Slide 42: Toxicity limitations of Stivarga
Toxicity limitations of Stivarga® BIOCHEMICAL ACTIVITY IC50 (nmol/L) IC50 (nmol/L) FRESCO Study CONCUR Study On-Target Kinases: 3rd-Line Metastatic Colorectal cancer Mainland China [1] (Mainland China, HK, Taiwan) [2] VEGFR1 VEGFR2 33 35 13 4.2 Treatment arms Elunate® Placebo Stivarga® Placebo VEGFR
Slide 43: Life cycle indications
Life cycle indications Phase III in 2L gastric cancer (FRUTIGA) Second interim analysis by IDMC expected mid 2020; On track to complete enrollment H2 2020. PD-1 collaborations With Innovent (Tyvyt®): dose/regimen finding ongoing; With Genor (genolimzumab): dose escalation ongoing; Phase II i
Slide 44: H1 2019 Financial Results, Cash & Guidance
3 H1 2019 Financial Results, Cash & Guidance
Slide 45: H1 2019 Financial results
H1 2019 Financial results R&D expense accelerated to $74.5m in first 6 months at CER [2] 2018 H1-18 H1-19 Growth (Non-GAAP) GROUP REVENUES 214.1 102.2 102.2 - +5% Global Unconsolidated JV Revenues 491.5 271.7 276.9 +2% +8% Innovation SEGMENT NET INCOME/(LOSS) [1] INNOVATION PLATFORM (102.4) (52.9) (
Slide 46: Cash position & 2019 Guidance
Cash position & 2019 Guidance $384 million in available cash resources [1] Cash Position (at end June 2019) (US$ millions) 2019 Guidance $237 million cash / Research & (130) – (170) cash equiv. / Short Global Development Expenses term inv. [2] Innovation Adj. (non-GAAP) Group (90) – (120) $147 m
Slide 47: Summary
4 Summary
Slide 48: What is next from discovery?
What is next from discovery? Differentiated assets against multiple targets Priming & activations Anti-angiogenesis aOX40 VEGFR (fruquintinib) VEGFR/FGFR (surufatinib) 4-1BB FGFR (HMPL-453) Antigen release Negative regulators Treg (HMPL-689) MET (savolitinib) CSF-1R (surufatinib) E
Slide 49: 2020 Summary
2020 Summary Potential for break-out year Chi-Med’s first unpartnered oncology drug launch Suru Launch Oncology commercial team ~300-350 reps by mid-2020 Submit 1st NDA (Exon14 NSCLC) SAVOIR PRCC Savo Breakout data & strategy SAVANNAH (w/Tagrisso®) interim NRDL Jan 2020 – broad China acc
Slide 50: Thank you
CHI- HUTCHISON CHINA MEDITECH Thank you
Slide 51: Appendix
Appendix A1 Strategies Global Innovation P53 China Oncology Opportunities P60 Existing China Business P66 A2 Product Candidate Details P72 A3 Further Corporate Information P108 51
Slide 52: Strategies – Global Innovation
Strategies – Global Innovation A1a Pushing the envelope on our most valuable assets
Slide 53: One of China's largest & most established discovery platforms in oncology
One of China’s largest & most established discovery platforms in oncology Global step-change innovation Aiming for multiple potential first-in-class assets Kinase selectivity – enable combos Limit off-target toxicity & address TKI resistance Discovery of broad range of assets against novel targe
Slide 54: Attack cancer from multiple angles at same time
Attack cancer from multiple angles at same time Immune Desert Excluded Infiltrate Insufficient T cell response Inadequate T cell homing Chemotherapies Anti-angiogenics Vaccines Stromal targets CAR-T (pro-inflammatory Chemokines strategies) Vaccines TCB’s Antigen Release Inflamed Aber
Slide 55: Our advanced medicinal chemistry provides superior selectivity & safety profiles
Our advanced medicinal chemistry provides superior selectivity & safety profiles… C-MET (Wild-type & mutants) VEGFR 1/2/3 PAK3 Savolitinib ~1,000 times ~250 times more selective to c-MET more selective to than next kinase (PAK3) [5] VEGFR3 than next non- VEGFR kinase (Ret) [6] Screening at >90% inhi
Slide 56: Superior safety allows for combinations
Superior safety allows for combinations TKI + TKI combos to address acquired resistance RESULTS:CANDIDATE RESULTS: CANDIDATEACQUIRED ACQUIREDRESISTANCE RESISTANCEMECHANISMS MECHANISMSWITH WITH OSIMERTINIB (n=91)* R OSIMERTINIB (n=91)* • No • Noevidence ofacquired evidence of acquired EGFR EGFR T790M
Slide 57: 5 assets in global development
5 assets in global development …US/EU clinical & regulatory team fully operational Program Treatment Indication Target patient Study name Sites Dose finding / safety run-in Proof-of-concept Registration ® ® Savolitinib + Tagrisso NSCLC 2L/3L EGFRm; Tagrisso ref.; MET+ SAVANNAH Global Oxnard/Ahn – DF
Slide 58: Global Innovation: Main targets for 2020-2021
Global Innovation Main targets for 2020-2021 Aim for Savolitinib / Tagrisso® combo NDA submission Build out US/EU development operation US/EU C&R operation set up in Florham Park, NJ Accelerate development of 4 un-partnered global assets Fruq (ex-China) & suru registration studies & explor
Slide 59: Strategies – China Oncology
Strategies – China Oncology A1b Next-gen oncology drugs to meet major needs in China
Slide 60: China oncology – ~24% of world's cancer patients
China oncology – ~24% of world’s cancer patients[1] Industry’s attention turning to unmet medical need in China oncology Regulatory reforms in China – addressing low SoC [2] Major investment inflow Chi-Med is a first mover Elunate® launch in 3L mCRC; First ever in China [3] Deep pipeline – 8
Slide 61: China now world's 2nd largest pharma market
China now world’s 2nd largest pharma market …investment, approvals & access all accelerating rapidly Per Capita Healthcare Spending PRC Pharmaceutical Market Size Medical Insurance Coverage [1] (US$ billions) 7% CAGR Million people (2018-2023E) 317 Urban employees with 8% CAGR 328 USA 287 307 Full a
Slide 62: Cancer is a major unmet need in China
Cancer is a major unmet need in China …investments in launches/access starting to have an impact Cancer Incidence in China (2018) Novel drugs post NRDL inclusion China 4,285 U.S. 1,735 (Bar Chart US$ millions) India 1,157 Japan 883 Germany 609 Price per cycle: US$4,505 -66% US$1,538 (RMB10,364) Braz
Slide 63: Assets in China development
8 assets in China development …fruq launched – savo/suru NDAs & Syk/PI3Kδ PoC ahead Program Treatment Indication Target patient Study name Sites Dose find / safety run-in Proof-of-concept Registration Enrolled Savolitinib NSCLC MET Exon 14 deletion China Lu Shun – SH Chest Hosp. n >70 Savolitinib Sa
Slide 64: China Oncology: Main targets for 2019-2021
China Oncology Main targets for 2019-2021 Establish Elunate® as the best-in-class VEGFR TKI in China market Work with Lilly to maximize penetration & sales performance; Aggressively expand PD-1 combination collaborations & broader LCI program Launch our un-partnered oncology drugs Target s
Slide 65: Strategies – Existing China Business
Strategies – Existing China Business A1c Cash generation & China commercial know-how / infrastructure
Slide 66: Existing China business
Existing China business Chi-Med spent 17 years building China commercial presence Valuable know-how in operating within the complex medical system in China Clear operating synergies with our novel oncology assets China operations/JVs have generated >$210 million dividends since inception China
Slide 67: Chi-Med's Commercial Platform in China
Chi-Med’s Commercial Platform in China Integrated platform built from ground up 2 National House- Major Commercial Leadership JVs with 3 Major Hold Name Brands & Production Scale Market Shares China Pharmas >2,400 Rx & ~900 OTC sales Market leader in the sub- people in over 330 [1] cities & categori
Slide 68: Established Rx Commercial Platform in Mainland China
Established Rx Commercial Platform in Mainland China… Chi-Med management run all day-to-day operations National Coverage: Over 330 cities & towns. NORTH ~24,400 hospitals. ~88,400 doctors. >2,400 Rx Pop’n: 320m (23%) CV Medical Reps: 585 (25%) Medical reps. covering Sales People 585 HSP Sales st
Slide 69: Chi-Med's Commercial Platform in China
Chi-Med’s Commercial Platform in China Proven track record, ~$300 million in net income since inception Revenues (Non-GAAP) [1][2] Net Income/(Loss) attrib. to Chi-Med (US$ millions) (US$ millions) 70 664 Total NI [3] NI to Chi- 2007-2018 Med CAGR 639 Prescription Drugs 342 171 +38% 582 Consumer Hea
Slide 70: Existing China Business: Plans for 2019-2021
Existing China Business Plans for 2019-2021 Continue organic growth Focus on proprietary prescription drug products Build out synergies with China Oncology Organization Strategically evaluate potential for M&A Focus on cash generation 70
Slide 71: Product Candidate Details
Product Candidate Details A2 Further details on each drug candidate
Slide 72: Savolitinib (AZD6094)
Savolitinib (AZD6094) A2a Potential first-in-class selective MET inhibitor
Slide 73: Savolitinib (AZD6094)
Savolitinib (AZD6094) Potential first-in-class selective MET inhibitor 1. Strong potential to become first selective MET 2. MET is aberrant in many tumor settings. [7] MET New Cases (2018) inhibitor approved in certain indications. Over- Clear clinical efficacy observed in non-small cell lung Indi
Slide 74: Savolitinib – MET Exon deletion NSCLC
Savolitinib – MET Exon 14 deletion NSCLC China’s lead MET inhibitor 1. Competitive landscape outside China: Treatment Line N BICR [1] ORR 95% CI Capmatinib ASCO 2019 #9004 2/3L 69 40.6% (28/69) 28.9%, 53.1% selective MET (Novartis/ Incyte) ASCO 2019 #9004 1L 28 67.9% (19/28) 47.6%, 84.1% Tepotinib s
Slide 75: Savolitinib – EGFR-TKI resistant NSCLC
Savolitinib – EGFR-TKI resistant NSCLC Very strong preclinical rationale for combination w/ EGFR-TKIs 1. 2nd Line NSCLC is a fast and attractive indication 2. Potential in EGFR-TKI resistant NSCLC: for savolitinib to go after. Also important unmet Must shut down both EGFRm & MET signaling pathways
Slide 76: Savolitinib – 2L NSCLC combo
Savolitinib – 2L NSCLC[1] combo w/ Encouraging in MET+ / T790M-, next step under discussion Savo / Iressa® combo in 1st gen. EGFRm-TKI refractory ...Iressa® combo – ~6mo. Duration of patients[2]...outstanding response in MET+ / T790M- Response in MET+ / T790M- patients MET+ / T790M+ MET+ (T790M-) ME
Slide 77: Savolitinib – 2L/3L NSCLC – resistant
Savolitinib – 2L/3L NSCLC[1] – resistant MET+ driven resistance in ~30% of patients Tagrisso® resistant tissue & ctDNA analysis [2] Other EGFR # Prior Prior 3rd gen Pt TISSUE (NGS, FISH) PLASMA ctDNA (NGS) MET+ mutation Therapies TKI Unknown ~30% 1 L858R 1 MET amp, T790 WT MET amp, T790M ND 3rd Line
Slide 78: Safety & tolerability
Safety & tolerability Tagrisso® & savo both highly selective/tolerable monotherapies Efficacy Discontinuations as % Enrolled US FDA Median PFS Due to Withdrawn Approval Treatment Disease setting n ORR (mo.) AE / Other Total [5] Monotherapy – Tagrisso® / savolitinib 30-Mar-17 Tagrisso® (osimertinib)
Slide 79: PRCC – unmet medical need
PRCC – unmet medical need Lower response rates to treatments 1. Limited treatment options for non-ccRCC 2. RCC est. ~$13.0 bn. 3. Unmet medical need: market by 2030 [1] Several approved therapies in ccRCC [3] Immunotherapy setting new treatment paradigm FIRST LINE – clear-cell RCC [4] ORR mPFS mOS M
Slide 80: Savolitinib – PRCC Phase II
Savolitinib – PRCC Phase II Clear efficacy & durable response in MET+ PRCC patients 1. Savolitinib clear ORR benefit in MET+ patients. 3. Disease Control Rate (“DCR”) – big advantage in MET+ 80 with DCR 73.2% vs. MET- 28.2%.^ Best Tumor measurement changes from baseline (%) 60 Objective Response Rat
Slide 81: Savolitinib – MET+ gastric cancer
Savolitinib – MET+ gastric cancer A major problem in east Asia – Japan, South Korea & China 1. Gastric (stomach) cancer is the 3. VIKTORY trial savolitinib arm – male, 34; surgery ruled-out; failed 4-cycles XELOX. 5th most common cancer globally – 782,700 deaths/year Baseline … after 1,034 New cases
Slide 82: Savo potential in gastric cancer
Savo potential in gastric cancer VIKTORY Phase II trial highly promising in MET+ gastric cancer VIKTORY: Highest response rate in savolitinib monotherapy arm Biomarker guided treatment may prolong overall survival Tumor sequenced (N=715) Eligible for 2nd line treatment (N=460) 1.00 p < 0.0001 Bi
Slide 83: Elunate (fruquintinib capsules)
Elunate® (fruquintinib capsules) A2b Highly selective anti-angiogenesis inhibitor
Slide 84: Fruquintinib – 24hr full target coverage
Fruquintinib – 24hr full target coverage The most selective VEGFR inhibitor in clinical trials globally [1] VEGF Production Blood vessel growth 1. Only inhibits VEGFR – limits off-target toxicity & Tumor allows for full & sustained target inhibition. Tumor growth 600 VEGF 500 Day=14, 6mg QD Plasma C
Slide 85: Fruquintinib – 3L/4L colorectal cancer
Fruquintinib – 3L/4L colorectal cancer Develop in US/EU for rego/TAS-102 ref./intol. patients[1] [1] ASCO = American Society of Clinical Oncology Annual Meeting. 85
Slide 86: Many Firsts for China biotech
Many “Firsts” for China biotech 2017 2018 Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Oral Presentation Presentation of further analyses JAMA Publication SHFDA Review Granted FRESCO Priority Positive NIFDC Review PAI Specs review & validation; Sample Reado
Slide 87: Launched – Nov. 25, 2018
Launched – Nov. 25, 2018 First ever oncology drug discovered & launched in China [1] [1] unconditional/Full approval 87
Slide 88: FALUCA – Third-line NSCLC Monotherapy
FALUCA – Third-line NSCLC Monotherapy Presented at WCLC 2019 FALUCA Phase III (enrolled Dec. 2015 Efficacy Endpoints (Intent-to-Treat) [2] Good safety; most Grade ≥3 TEAEs target-related & clinically manageable. to Feb. 2018) Fruq. Placebo Patient (%) Fruq (N=354) Pbo (N=173) p-value TEAE ≥ Grade 3
Slide 89: Fruquintinib – 1L NSCLC combo
Fruquintinib – 1L NSCLC combo w/ Two small molecule TKIs allow for better management of tox. 1. Promising efficacy in first line – 72% ORR (36/50). [1,2,3] 3. Combination of highly selective TKIs vs. mAbs: daily dose +20% PR, n (%) 36 (72.0%) flexibility improves tolerability. This enables maintaine
Slide 90: Fruquintinib – Gastric combo with paclitaxel
Fruquintinib – Gastric combo with paclitaxel Phase III initiated Oct 2017 – Interim analysis early 2019 1. Dose proportional increase of fruquintinib AUC at steady 3. Encouragingly low level of dose reduction/interruption. state. Over 30% increase in paclitaxel drug exposure (mean Actual mean admini
Slide 91: Immunotherapy combinations: ideal TKI combo partners
Immunotherapy combinations… assets potentially ideal TKI combo partners for immunotherapy ® 1L Clear Cell Renal Cell Carcinoma [1] Inlyta Fruquintinib Surufatinib Selective angio-immuno Objective Response Rate 59% Selectivity Relatively selective Highly selective kinase inhibitor Complete Response S
Slide 92: Fruquintinib & surufatinib both unique VEGFR TKIs
Fruquintinib & surufatinib both unique VEGFR TKIs …potentially ideal VEGFR combo partners for immunotherapy st nd TKI 1 Generation 2 Generation Next Generation Selective angio-immuno Selectivity Multiple targets Relatively selective Highly selective kinase inhibitor ® ® ® ® ® ® [1] Inhibitors Sutent
Slide 93: Lilly amendment – Dec 2018
Lilly amendment – Dec 2018 Secures long-term commercial potential Chi-Med will pay full cost of any future development in China. In return, Chi-Med gains: Freedom to operate in selecting & pursuing any future indications in China; Materially higher milestones & royalties upon launch in new LCI
Slide 94: Surufatinib
Surufatinib A2c Highly active TKI with unique angio-immuno activity
Slide 95: Surufatinib – China data
Surufatinib – China data [1] [2] Broad spectrum NET efficacy incl. Sutent®/Afinitor® failure ptnts. Phase III: Non-Pancreatic NET Phase III: Safety – Well tolerated – Adverse Events manageable. MEDIAN PFS Suru Pbo Suru Pbo Adverse Events Grade ≥3 N=129 N=68 Surufatinib: 9.2 months (95% CI 7.4, 11.1)
Slide 96: ~170,000 NET patients in U.S.
~170,000 NET patients in U.S. [1][2] U.S. NET treatment landscape – highly fragmented Somatostatin Based Therapies Kinase Inhibitor Therapies Sandostatin® LAR Somatuline Depot® Lutathera® Afinitor® Sutent® Surufatinib (octreotide) (lanreotide) (177Lu-Dotatate) (everolimus) (sunitinib) (China NDA acc
Slide 97: Surufatinib – China NET – Phase II
Surufatinib – China NET – Phase II (ENETS 2017 [1]) Tumor devascularization & central necrosis Duodenum NET G2 w/ multiple liver & retroperitoneal Baseline Week 52 lymph node metastases Patient 1 Baseline Week 56 w/ multiple liver metastases Rectum NET G2 Patient 2 [1] ENETS = European Neuroendocrin
Slide 98: HMPL-523 (Syk) & HMPL-689 (PI3Kδ)
HMPL-523 (Syk) & HMPL-689 (PI3Kδ) A2d Potential first-in-class (Syk) & best-in-class (PI3Kδ) assets
Slide 99: HMPL-523 – hematological malignancies
HMPL-523 – hematological malignancies Syk exciting target emerging – Lymphoma PoC ongoing 1. The B-cell signaling is critical in hematological cancer with three 2. Entospletinib – 65% Nodal Response Rate CLL & SLL [4] [5]. breakthrough therapies recently approved. Best Change in SPD from Baseline (%
Slide 100: HMPL-523 (Syk) in hematological cancer
HMPL-523 (Syk) in hematological cancer Australia & China – large Ph.Ib expansion. US/EU Ph.I imminent Extensive Ph.I dose escalation Australia & China Phase I/Ib studies study now complete in Australia & China (total n=60); RP2D [1] determined & large Ph. Ib Stage I: dose escalation • Australia:
Slide 101: HMPL-689 – Phase I Australia & China ongoing
HMPL-689 – Phase I Australia & China ongoing Designed to be a best-in-class inhibitor of PI3Kδ 1. PI3Kδ now a proven target. 2. PI3Kδ inhibitors being developed in a very broad range of indications. PI3Kδ activation associated with allergy, Compound Indication Status Issue inflammation & oncology.
Slide 102: Epitinib, Theliatinib & HMPL-453
Epitinib (EGFR), Theliatinib (EGFRwt) & HMPL-453 (FGFR) A2e Aim to establish proof-of-concept
Slide 103: Epitinib – 70% response in NSCLC w/ brain mets
Epitinib – 70% response in NSCLC w/ brain mets[1] Unmet medical need. Investment case under review. 1. Phase Ib [1] – epitinib monotherapy in EGFRm+ NSCLC 2. Phase Ib [1] – solid/durable efficacy in brain in EGFRm+ patients – efficacy in lung in-line with Iressa®/Tarceva®. NSCLC patients with measur
Slide 104: Epitinib – Safe & well tolerated
Epitinib – Safe & well tolerated 3. Epitinib well tolerated by patients[1] w/advanced CASE STUDY – EGFR-TKI naïve patient solid tumors. Safety profile is consistent with that of Male, 46, diagnosed with Stage IV NSCLC adenocarcinoma (Exon21) Metastases in the approved EGFR-TKIs (e.g. Iressa®/ Ta
Slide 105: Theliatinib
Theliatinib Potent & highly selective TKI – strong affinity to EGFRwt kinase 1. Major unmet medical need for wild-type EGFR CASE STUDY – EGFR protein over expression activation tumors. May 4, 2016: Man, 62, stage IV esophageal squamous cell cancer EGFR TKIs are less effective in solid tumors wit
Slide 106: HMPL-453 – Phase I in China ongoing
HMPL-453 – Phase I in China ongoing Designed as best-in-class FGFR1/2/3 inhibitor 1. FGFR genetic alterations are oncogenic drivers. 2. FGFR – diverse & complicated genetic changes with FGF/FGFR signaling normally involved in multiple tumor types harboring low incidence. embryonic development, tis
Slide 107: Further Corporate Information
Further Corporate Information A3
Slide 108: Chi-Med Group Structure - Major Entities
Chi-Med Group Structure - Major Entities Non-Consolidated Joint Ventures Chi-Med Group Level Revenues – H1 2019: $102.2m (H1 2018: $102.2m) Chi-Med Subsidiaries Net Loss Attributable to Chi-Med – H1 2019: -$45.4m (H1 2018: -$32.7m) Innovation Platform Commercial Platform Revenue – H1 2019: $12.0m (H
Slide 109: FY2019 H1 Inter-group cash flow
FY2019 H1 Inter-group cash flow $237.3m cash (Jun 30, 2019); $146.3m in undrawn bank facilities Capital Markets ESOP & Bank Loans (at Jun 30, 2019) Pharma Partners AIM (~$75m – May 2006) Treasury Drawn down: $0m AstraZeneca; Eli Lilly; Nestlé Nasdaq (~$96m – Mar 2016) Nasdaq (~$293m – Oct 2017) Shar
Slide 110: Non-GAAP Financial Measures and Reconciliation (1/3)
Non-GAAP Financial Measures and Reconciliation (1/3) Reconciliation of Adjusted Group net cash flows and Adjusted Group net Reconciliation of Adjusted Research and Development Expenses: cash flows excluding financing activities: Jun 30, 2019 Current 2019 Previous 2019 Guidance Guidance H1 2018 H1 20
Slide 111: Non-GAAP Financial Measures and Reconciliation (2/3)
Non-GAAP Financial Measures and Reconciliation (2/3) Reconciliation of GAAP growth to CER growth Six Months Ended Growth Amount Growth % $’Million (except %) June 30, June 30, Exchange Actual Exchange Actual at CER CER growth % 2019 2018 effects growth % effect % Consolidated sales 102.2 102.2 - 5.1
Slide 112: Non-GAAP Financial Measures and Reconciliation (3/3)
Non-GAAP Financial Measures and Reconciliation (3/3) Reconciliation of Non-GAAP Sales and Non-GAAP Net (loss)/income after tax [1] Prescription Drugs: includes our Consolidated subsidiary (Hutchison Sinopharm) and Non-consolidated joint venture (SHPL); Consumer Health: includes our Consolidated
Slide 113: China Commercial Platform has substantial value
China Commercial Platform has substantial value Chi-Med’s Commercial Platform continues to perform well relative to our peer group. The market value, based on China Pharma median PE multiples is approximately $1.8 billion.[1] Given our share in the JVs, Chi-Med’s share of this value is approxima
Slide 114: National Reimbursement Drug List Pricing (NRDL)
National Reimbursement Drug List Pricing (“NRDL”) July’17 update – 15 new drugs in oncology[1] added to NRDL Unit Pricing (US$) [3] Approximate Monthly Pricing (US$) [3] Brand (generic) Company Dosage Avg. Tender Reimbursed ∆% Dosage Avg. Tender Reimbursed Indication coverage Herceptin® Breast: 4mg/
Slide 115: National Reimbursement Drug List Pricing (NRDL)
National Reimbursement Drug List Pricing (“NRDL”) Oct’18 update – 17 new drugs in oncology added to NRDL Unit Pricing (US$) [2] Approximate Monthly Pricing (US$) [2] Brand (generic) Company Dosage Avg. Tender Reimbursed ∆% Dosage [1] Avg. Tender Reimbursed Indication coverage ® Focus V (anlotinib) S
Slide 116: National Reimbursement Drug List Pricing (NRDL)
National Reimbursement Drug List Pricing (“NRDL”) Nov’19 update – 8 new & 9 renewed drugs in oncology[1] Unit Pricing (US$) [3] Approximate Monthly Pricing (US$) [3] Brand (generic) Company Dosage Avg. Tender Reimbursed ∆% Dosage Avg. Tender Reimbursed Indication coverage ® Elunate Chi-Med 5mg $149
Slide 117: Thank you
CHI- HUTCHISON CHINA MEDITECH Thank you
Hutchison China MediTech (Chi-Med) — Investor Presentation (January 2020) on 6ix