MedImmune
Contacts:
Lori Weiman
Senior Director, Corporate Communications
301-527-4321
Will
Roberts
Manager, Investor Relations
301-527-4358
On December 3, 2001, MedImmune announced that it has entered into a definitive merger agreement under which it will acquire Aviron through an exchange offer and merger transaction. Attached and incorporated herein by reference in its entirety as Exhibit 1 is a copy of a slide-show presentation given to investors by MedImmune to further explain the transaction.
Filed by MedImmune, Inc.
Pursuant to Rule 425 under the Securities Act of 1933
Subject Company: Aviron
Commission File No. 000-20815
Jennison Associates Presentation
December 2001
This presentation may contain, in addition to historical information, certain forward-looking statements that involve risks and uncertainties. Such statements reflect management's current views and are based on certain assumptions. Actual results could differ materially from those currently anticipated as a result of a number of factors, including risks and uncertainties discussed in MedImmune's and Aviron's filings with the SEC. MedImmune and Aviron are developing products for potential future marketing. There can be no assurance that such development efforts will succeed, that such products will receive required regulatory clearance or that, even if such regulatory clearance were received, such products would ultimately achieve commercial success. There can be no assurance that the offer and merger will close or that Aviron will be integrated successfully or without unanticipated costs.
We urge Aviron stockholders and other investors to read the registration statement on Form S-4, Schedule TO, preliminary prospectus, supplements, final prospectus and other exchange offer documents which have been filed or will be filed by MedImmune with the Securities and Exchange Commission and the related solicitation/recommendation statement filed by Aviron with the SEC. These documents contain important information which should be read carefully before any decision is made with respect to the offer. Documents filed with the SEC are available for free at the SEC's website at www.sec.gov. Documents are available for free from MacKenzie Partners, Inc., 800-322-2885.
Transaction Details
Strategic Rationale
FluMist Opportunity
Aviron Pipeline Overview
900 employees; 250-person R&D organization
Two manufacturing plants: MD & Netherlands
Three sales forces: hospital, pediatric & oncology
New headquarters/R&D facility early 2003
Synagis® | ||
Humanized monoclonal antibody Only MAb approved for infectious disease Launched in U.S. September 1998 Prevention of serious lower respiratory tract disease caused by RSV in high risk infants Approved in 46 countries; ABT ex-US distributor, co-promotes in U.S. |
Worldwide Synagis® Sales Seasonal Comparison (millions) |
Ethyol® | ||
Cytoprotectant agent Reduce cisplatin toxicities in ovarian and NSCLC (1996) Prevent radiation induced xerostomia in H/N (1999) MEDI regained U.S. marketing rights October '01 Schering-Plough ROW distributor Current annualized worldwide sales $65M ($44M U.S.) |
86% MEDI
14% AVIR
Strategic Rationale
Excellent Strategic Fit
Infectious disease
Respiratory disease
Vaccine technology
Pediatrics
Product development
Regulatory
Manufacturing/QA/QC
Marketing and sales
Strategic Rationale
Unique Ability to Assess and Execute
R&D | Jim Young, PhD | |
Clinical |
Frank Top, MD Ed Connor, MD |
|
Regulatory |
Peter Patriarca, MD |
|
Mfg./QC/QA |
Gail Wasserman, PhD Ed Goley Ben Machielse |
|
Marketing |
Jeff Hackman |
Strategic Rationale
Excellent Financial Fit
25% annual revenue growth
30% annual EPS growth
Strategic Rationale
Excellent Financial Fit
Financial Goals |
2002 |
2003 |
2006 |
|||
---|---|---|---|---|---|---|
Revenues | $900M | $1.1-$1.25B | >$2.1B | |||
Cash EPS | $0.65-$0.70 | $1.15-$1.20 | >$2.50 |
2006 Operating Metrics (Goals)
Strategic Rationale
Create Premier Biotech Company
Synagis®
FluMist
Antibodies and vaccines
Four in Phase 3, five in Phase 2
Product approvals
Manufacturing scale-up
Commercial success
Financial results
Chills, myalgia, cough, sore throat, nasal congestion, headache, malaise
Pneumonia and influenza6th leading cause of death in the US
25-50 Million People Infected
20,000-50,000 Deaths
70 Million Lost Work Days
38 Million Lost School Days
Costs Nearly $15 Billion
Source: MMWR 2001
Source: American Lung Association, 3/01
Influenza-related Morbidity and Mortality
Glezen WP. Emerging infections: pandemic influenza. Epidemiol Rev. 1996; 18(1), 64-76.
Annual vaccination
Inactivated vaccine
Aventis Pasteur
Medeva/Evans
American Home Products
Growing at 10%
Price doubled to approximately $5 recently
Expected to reach $10 soon
FluMist |
Live | Active viral replication | X >20,000 vaccinated in ~20 studies | ||
Attenuated |
Mild Infection |
X Positively viewed by pediatric community |
||
Cold-adapted Temperature-sensitive |
Replication restricted mainly to nasopharynx |
X Anticipated by recommending bodies |
||
Trivalent |
A (H3N2, H1N1), B |
X Significant public health impact |
||
Dose = 0.5 ml (~107 TCID50) 0.25 ml into each nostril |
Endpoint |
% Efficacy |
95% CI |
||
---|---|---|---|---|
Culture Confirmed Flu | 91.7 | 87.7, 94.4 | ||
Febrile Illness |
93.6 |
89.7, 96.0 |
||
Otitis Media |
96.2 |
87.6, 98.8 |
||
Lower Respiratory Illness |
95.2 |
62.2, 99.4 |
Endpoint |
% Reduction |
P-Value |
|||
---|---|---|---|---|---|
Missed daycare/preschool/school days | |||||
Any Illness | 12.8 | 0.07 | |||
Culture Positive Illness | 93.2 | <0.001 | |||
Healthcare Provider Visits | |||||
Any Illness | 11.2 | 0.02 | |||
Culture Positive Illness | 92.1 | <0.001 | |||
Parental Lost Work | |||||
Any Illness | 12.6 | 0.17 | |||
Culture Positive Illness | 93.0 | <0.001 |
Frozen FluMist BLA
Under FDA Review
10 month PDUFA calendar
Clinical sites
Manufacturing sites
Question 1: | Are the data adequate to support the efficacy of FluMist? | |
Adults 18-64 years of age? Yes 13-2 |
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Children 1-17 years of age? Yes 8-7 |
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Children 2-17 years of age? Yes 13-2 |
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Question 2: |
Are the data adequate to support the safety of FluMist in the population in which an indication is being sought (i.e., 1-64 years)? |
|
No 10-4 |
||
6 of 10 no votes were provisional pending final FDA data analysis |
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Issues |
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Pneumonia |
||
Asthma |
||
Concurrent use |
||
|
FluMist |
Placebo |
|||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Study |
|||||||||||||
N |
Cases |
>21d |
N |
Cases |
>21d |
||||||||
AV006-Y1 | 1070 | 8 | 6 | 532 | 2 | 1 | |||||||
AV006-Y2 | 917 | 2 | 1 | 441 | 0 | 0 | |||||||
AV007 | 400 | 1 | 1 | 100 | 0 | 0 | |||||||
AV0012-Y1 | 4298 | 2 | 1 | ||||||||||
AV0012-Y2 | 5251 | 6 | 4 | ||||||||||
AV0015 | 949 | 1 | 1 | ||||||||||
AV0017 | 1175 | 3 | 3 | 70 | 0 | 0 | |||||||
AV0019 | 6495 | 14 | 10 | 3238 | 10 | 6 | |||||||
Total | 20,555 | 37 | 27 | 4,381 | 12 | 7 | |||||||
Percent | 0.18 | % | 0.13 | % | 0.21 | % | 0.16 | % |
Asthma Episodes (All Doses)
AV019Healthy Children
Age |
FluMist n/N |
Placebo n/N |
Rate per 1000 person-months FluMist/Placebo |
p Value |
||||
---|---|---|---|---|---|---|---|---|
1-17 years | 58 / 6473 | 30 / 3216 | 4.6 / 4.8 | p=0.422 | ||||
1-8 years | 45 / 3769 | 21 / 1868 | 5.1 / 4.8 | p=0.418 | ||||
18-36 months | 16 / 728 | 2 / 369 | 9.3 / 2.3 | p=0.019 | ||||
12-17 months | 1 / 171 | 3 / 90 | 2.5 / 14.4 | p=0.067 |
Safety Database
(approximate number of participants)
|
Pre-Aviron Data Set |
Included in BLA |
Included in Safety Update |
|||
---|---|---|---|---|---|---|
Healthy Children | 2,600 | 6,000 | 18,000 | |||
Healthy Adults | 4,600 | 3,700 | 4,000 | |||
High Risk | 900 | 700 | 2,000 | |||
Total | 8,100 | 10,400 | 24,000 |
Indication | Prevention of influenza in healthy persons age 18mo - 64yrs | |
ClinPharm |
93% Efficacy 37% ARROW flu-assoc. febrile otitis media Reduction in direct/indirect costs |
|
Precautions/ warnings |
Do not administer to persons with prior Hx wheezing; do not administer with other vaccines |
|
Side Effects |
Mild URI Sx in 20-50% Significant fever 2-5% |
|
Dosage/admin |
0.5 cc intranasally (0.25 cc/nostril) 2 doses 30-60d apart for age <9yrs |
Conclusions |
X Important medical advance
X New approach to immunization
X Data supports efficacy
X Draft clinical responses address major CR issues
X Primary issues that may affect timing and labeling
X Data support high likelihood of approval
U.S. co-promotion
AHP distributes Ex-U.S.
AHP records end-user sales
Liquid presentation
Sterile filtration for virus harvest
Reduced NAF
Plasmid rescue for development of MVS
Cell culture production
Mapping of mutations in MDV