April 11, 2006 Corporate Overview Michael G. Kauffman, M.D., Ph.D. President and CEO |
Forward-looking Statements the expected timing, progress and success of our current and anticipated clinical trials and preclinical research programs; the anticipated efficacy of our drug candidates; the expected benefits of our drug candidates over other therapies; statistical information concerning the markets in which we expect our drug candidates to compete, if approved; and estimates of our future financial performance. While the management of Predix makes its best efforts to be accurate in making forward-looking statements, forward-looking statements reflect our current assumptions and views with respect to future events and are subject to risks and uncertainties that could cause actual results to vary materially from those described in the forward-looking statements. The following presentation contains forward-looking statements about Predix Pharmaceuticals Holdings, Inc., including, but not limited to, statements about: |
Merger with EPIX Pharmaceuticals April 3, 2006 Predix and EPIX (Nasdaq: EPIX) announced merger agreement creating a specialty pharmaceuticals company with capabilities in both therapeutics and imaging. The combined company will have: a broad pipeline Vasovist(tm), EPIX's novel blood pool imaging agent, which is expected to be marketed in Europe by Schering AG and is the subject of ongoing discussions with the FDA regarding its path forward in the United States PRX-00023 in Phase III for anxiety, and expected to enter Phase II for depression in 2007 EP-2104R in Phase II for imaging arterial and venous blood clots PRX-03140 which has completed Phase Ib trials and is expected to enter Phase II for Alzheimer's disease later this year PRX-08066 in Phase Ib development for pulmonary arterial hypertension a portfolio of several pre-clinical product candidates an experienced management team approximately $125 million in cash and marketable securities at the end of the first quarter |
Additional Information About the Merger And Where To Find It EPIX intends to file a registration statement on Form S-4 with the Securities and Exchange Commission containing a joint proxy statement/prospectus in connection with the proposed merger. Investors and security holders are advised to read the joint proxy statement/prospectus (including any amendments or supplements thereto) regarding the proposed merger when it becomes available because it contains important information about EPIX, Predix and the proposed transaction and other related matters. The joint proxy statement/prospectus will be sent to stockholders of EPIX and Predix seeking their approval of the proposed transaction. Investors and security holders may obtain a free copy of the joint proxy statement/prospectus and any amendments or supplements thereto (when they are available) and other documents filed by EPIX at the Securities and Exchange Commission's web site at www.sec.gov. The joint proxy statement/prospectus and such other documents may also be obtained for free by directing such request to EPIX Pharmaceuticals, Inc. 161 First Street, Cambridge, Massachusetts, Attn: Investor Relations, tel: (617) 250-6000; e-mail: ahedison@epixpharma.com or Predix Pharmaceuticals Holdings, Inc., 4 Maguire Road, Lexington, Massachusetts 02421, Attn: Investor Relations, tel: (781) 372-3260; e-mail: investors@predixpharm.com. EPIX and Predix and their respective directors, executive officers and other members of management and employees may be deemed to be participants in the solicitation of proxies with respect to the adoption of the merger agreement and the transactions associated with the merger. A description of any interests that EPIX and Predix directors and executive officers have in the merger will be included in the registration statement containing the proxy statement/prospectus that will be filed with the Securities and Exchange Commission and available free of charge as indicated above. Information regarding EPIX's executive officers and directors is also available in EPIX's proxy statement for its 2005 Annual Meeting of Stockholders, which was filed with the Securities and Exchange Commission on April 29, 2005. You can obtain free copies of these documents using the contact information above. |
Predix Overview Pharmaceutical company focused on validated targets for drug discovery and development: Effective discovery and optimization engine 3 internally discovered drug candidates in clinical trials in less than 3 years Highly selective small-molecule drugs for G-protein-coupled receptors (GPCR) and ion channels Retained all worldwide rights Commercialization strategy includes partnering in large, PCP-driven markets Significant clinical and corporate milestones ahead |
Pipeline Snapshot |
GPCRs and Ion Channels - Proven Drug Targets GPCRs and ion channels (IC) Embedded proteins in surface membrane of all cells Mediate biological signaling in health / disease Clinically and commercially validated targets: 40% of top selling drugs target GPCR/IC Despite commercial success, side effects and administration (ADME) issues remain problematic Opportunity for Predix |
Efficient & Effective Discovery Engine Hits in silico screen, 2.5M compounds ^6 months Hits "wet" assay screen, <1M compounds ^12 months Lead Optimization ~1,000 compounds 2-5 years to clinical candidate Industry Standards Predix Lead Optimization 100 compounds or less 6-12 months to clinical candidate |
PRX-00023 for Anxiety & Depression |
Market Overview - Anxiety and Depression Sources: U.S. National Institute of Mental Health; European Study of Epidemiology of Mental Disorders (Acta Psychiatr Scand 2004); Kawakami et al., Psychiatry Res 2004; Ayuso-Mateos et al., Br J Psych 2001; Global Industry Analysts Antidepressants Report, October 2004 Market value of more than $15.9 billion worldwide in 2004 (Espicom) |
Mechanisms of Other Drugs Limitations of currently approved therapies: Dosing Tolerability Side effects that ultimately lead to discontinuation of therapy for many patients SSRI / SNRI Affect 14+ receptors Withdrawal issues Affect sleep, sexual function, appetite Black box warning Azapirones 5-HT1A agonist Affinity for "off-target" GPCRs Dosing issues Nausea, headache, lightheadedness, restlessness |
Mechanism of PRX-00023 Potential to meet unmet needs: PRX-00023 Potential profile: Efficacy comparable to SSRIs Once-daily dosing No sexual dysfunction No effect on sleep or appetite No withdrawal symptoms Do not expect black box warning Well tolerated compared to azapirones |
PRX-00023 - Anxiety and Depression Highly selective, once daily, small-molecule drug candidate for the 5-HT1A receptor Well tolerated in >100 humans in Phase I & II trials Dose dependent increase in brain-derived biomarker at doses 30mg and higher in Phase I Well tolerated with titration up to 150 mg daily Target dose based on biomarker in 100% of patients is 40mg qd x 3 days, then 80mg qd thereafter Initiated pivotal Phase III in GAD in August 2005 |
Dose Selection - Phase I Results Biomarker Induction Max Transient Prolactin Change from Baseline 0 5 10 15 20 25 30 0 10 30 40 60 90 120 150 Dose in mg Changes in Mood State Prolactin Max Change, ng/mL Prolactin Max Change, ng/mL Mean Difference from Placebo Study -002 Study -003 |
PRX-00023 Phase III Pivotal Trial 310 patients with moderate-to-severe GAD; US only Randomized, double-blind, placebo-controlled, multi-center Primary: HAM-A change from baseline to week 8 vs. placebo Secondary: CGI-Improvement, sexual dysfunction, withdrawal, MADRS Data expected 2H 2006 |
PRX-03140 for Alzheimer's Disease |
Sources: Espicom report, "CNS Drug Discoveries: What the Future Holds (Neurodegenerative)", June 2005; U.S. Census Internet Release, January 2004; Hebert et al., Neurology 2004; Company Reports Market Overview - Alzheimer's Disease Significant unmet need for therapy that will improve symptoms and slow disease progression Aging of baby boomers will have large impact on market size in US Aged 65+ will double over the next 25 yrs to > 70M 44% increase predicted in Alzheimer's prevalence by 2025 |
CNS Active 5-HT4 Agonist Potential Stimulates brain ACh production or release for symptomatic improvement Synergy with cholinesterase inhibitors |
PRX-03140 - Alzheimer's Disease Well tolerated in >100 healthy volunteers in single dose and multiple dose Phase I trials Biomarker demonstrates hitting target in humans Placebo-controlled Phase Ib in 12 patients with Alzheimer's Disease Dose 50 mg qd well tolerated for 2 weeks in 8 patients Statistically significant changes in EEG within 2 weeks consistent with effects seen with approved drugs Demonstrated synergy with cholinesterase inhibitors in preclinical models Phase II combination trial with cholinesterase inhibitor in mid-2006 |
Vehicle PRX-03140 0.03 mg/kg Galanthamine 0.3 Mg/kg Gal 0.3+PRX- 01340 0.03 PRX-03140 1 mg/kg Galanthamine 2.5 mg/kg Glucose [gold standard] Percent Alternation (mean +- SEM) n=7 n=3 N=4 N=4 N=6 N=5 N=6 * ** ** ** Glucose is the gold standard for comparison purposes in this preclinical spontaneous alternation model. Synergism between PRX-03140 and Galantamine in the Spontaneous Alternation Test in Rats PRX-03140 is Synergistic With a Cholinesterase Inhibitor |
Overall mean placebo-adjusted alpha: theta ratio increased by ~ 0.3 on day 2 and 0.7 on day 10 PRX-03140 decrease in theta power in consistent with changes observed with effective doses of Aricept (Kogan et al. Neural Transm. 2001. 108: 1167) and Exelon (Adler G, Brassen S. Neuropsychobiol 2001: 43: 273) Previously, AD patients that were tacrine responders had an overall mean placebo-adjusted alpha:theta ratio increase of ~ 0.3 with tacrine 40 mg (Almkvist et al., Demnt Geriatr Cogn Disord,2001) Increase in Placebo-Adjusted Right Frontal Alpha: Theta Ratio PRX-03140 Produces Desirable Changes in qEEG in Alzheimer's Patients P=0.04 for difference in medians (treatment vs. placebo control) * ns 0 0.05 0.1 0.15 0.2 0.25 0.3 Day 2 Day 10 R Frontal Alpha: Theta Median Change From Baseline |
PRX-08066 in PAH/COPD |
PAH Associated with Chronic Obstructive Pulmonary Disease COPD is a slowly progressive disease of the airways characterized by a gradual loss of lung function Pulmonary hypertension develops in a subset of patients with moderate to severe COPD Estimated to affect ~ 5 million people worldwide Exercise and activities of daily living are significantly impaired There are currently no approved drugs for PAH associated with COPD and current treatment options are limited |
Key Role of 5-HT2B in Lung From Farber and Loscalzo. 2004. New England Journal of Medicine. 351:1655 |
PRX-08066 - PAH Associated with COPD Highly selective, oral, small-molecule antagonist drug targeting the 5-HT2B receptor First-in-class for PAH associated with COPD Intended to: Provide symptomatic relief through selective vasodilation Slow disease progression by blocking signaling pathways Phase I trial completed; excellent PK and tolerability profile Phase Ib proof of concept trial for PAH completed Data available by mid-2006 Phase II trial in COPD with PAH to be initiated in mid-2006 |
Expected Milestones Milestone Timing Present data at upcoming medical meetings Ongoing Results of PAH Phase Ib Trial Mid 2006 Advance discussions regarding partnering lead product candidates 2H06 Initiate Phase II Trial in Alzheimer's 2H06 Initiate Phase IIa Trial in COPD/PAH 2H06 Complete first Phase III in GAD 2H06 Advance at least one candidate into the clinic Annually |
Partnering Strategy Partner programs from our pipeline when we believe we can create the greatest value for our shareholders Discovery collaborations targeting one or more GPCR targets: Predix leads discovery and development, e.g., early clinical proof of concept From that point, partner leads development and commercialization A combination of the above |
Senior Management Team Michael Kauffman, MD, PhD Millennium (Velcade(r)), Biogen, MGH, Hopkins President and CEO Oren Becker, PhD Harvard University, Tel Aviv University Chief Scientific Officer Steve Donahue, MD Merck, BMS, Georgetown Clin Pharm VP, Clinical & Regulatory Affairs Kim Drapkin, CPA Millennium, PriceWaterhouseCoopers Chief Financial Officer Silvia Noiman, PhD, MBA Tel-Hashomer Hospital, Weizmann Institute SVP, Pipeline Management Chen Schor, MBA, CPA Yozma Venture Capital, Arthur Andersen Chief Business Officer |
Predix Summary Pharmaceutical company focusing on validated targets to develop novel drugs to meet unmet medical needs Effective and efficient discovery engine utilizing proprietary in silico technology 3 internally discovered drugs in the clinic in less than 3 years Broad therapeutic applicability Focused on GPCR and ion channel targets Commercialization strategy includes partnering for development and commercialization in larger markets driven by PCPs |