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8-K - DELCATH SYSTEMS, INC.form8-k.htm
Exhibit 99.1
Annual Shareholder Meeting
(NASDAQ: DCTH)
May 16, 2013
 
 

 
2 DELCATH SYSTEMS, INC
Forward-looking Statements
Private Securities Litigation Reform Act of 1995 provides a safe harbor for forward-looking statements made by the Company or on
its behalf. This presentation contains forward-looking statements, which are subject to certain risks and uncertainties that can cause
actual results to differ materially from those described. Factors that may cause such differences include, but are not limited to,

uncertainties relating to: the impact of the negative advisory vote by the ODAC panel on the FDA’s decision regarding the
Company’s new drug application (NDA), timing of completion of the FDA’s review of our NDA, the extent to which the FDA may
request additional information, data, or new clinical trials and our ability to provide the same in a timely manner, additional PDUFA
goal date extensions by the FDA, acceptability of the Phase 1, 2 and 3 clinical trial data by the FDA, FDA approval of the Company's
NDA for the treatment of metastatic ocular melanoma to the liver, adoption, use and resulting sales, if any, for
the MelblezTM Kit in
the United States, adoption, use and resulting sales, if any, for the Hepatic CHEMOSAT Delivery System in the EEA, our ability to
successfully commercialize the Melblez/CHEMOSAT System in various markets and the potential of the system as a treatment for
patients with cancers in the liver, the timing and our ability to successfully enter into strategic partnership and distribution
arrangements in foreign markets including Australia and key Asian markets and resulting sales, if any, from the same, patient
outcomes using the Generation 2 system, approval of the current or future system for other indications and/or for use with various
chemotherapeutic agents, actions by the FDA or other foreign regulatory agencies, our ability to obtain reimbursement for the
CHEMOSAT system in various markets, the number of cancer centers in Germany and Italy able to successfully negotiate and
receive reimbursement for the CHEMOSAT procedure and the amount of reimbursement to be provided, submission and  publication
of the Phase II and III clinical trial data, the timing and results of research and development projects, the timing and results of future
clinical trials including the initiation of clinical trials in key Asian markets with the CHEMOSAT Hepatic Delivery System device for
intra-hepatic arterial delivery and extracorporeal filtration of doxorubicin, approval of the CHEMOSAT Hepatic Delivery System to
delver and filter doxorubicin
in key Asian markets and adoption, sales, if any, and patient outcomes using the same, the timing, price
and use, if any, of the committee equity financing facility with Terrapin, the timing and use, if any, of the line of credit from SVB and
our ability to access this facility, the timing and use, if any, of the At-the-Market financing program, and uncertainties regarding our
ability to obtain financial and other resources for any research, development and commercialization activities. These factors, and
others, are discussed from time to time in our filings with the Securities and Exchange Commission. You should not place undue
reliance on these forward-looking statements, which speak only as of the date they are made. We undertake no obligation to publicly
update or revise these forward-looking statements to reflect events or circumstances after the date they are made.
 
 

 
3 DELCATH SYSTEMS, INC
US Market
•   Proposed Trade Name
Melblez KitTM (Melblez (melphalan) for
Injection for use with the Delcath
Hepatic Delivery System)
•   Proprietary Drug/Device Combination
    Product Regulated as a drug 505(b)(2)
    NDA by U.S. FDA
•   Proposed initial indication for the
    treatment of patients with unresectable
    ocular melanoma metastatic to the liver
•   Melblez Kit comprised of MelblezTM
    (melphalan hydrochloride for injection)
    and the Delcath Hepatic Delivery
    System
Product Status
Ex US Markets
•   Marketed under the trade name
 
CHEMOSAT® Hepatic Delivery
System
•   Regulated as a Class IIb Medical
    Device
•   Indicated for the intra-hepatic of
    administration of melphalan
    hydrochloride and subsequent
    filtration of the venous blood
     return.
•   CHEMOSAT Kit supplied without
    melphalan
 
 

 
4 DELCATH SYSTEMS, INC
How the Combination Product Works
Filters
Veno-veno
Bypass Pump
3. Filters
2. Blood and melphalan
collected in IVC as they
exit liver via hepatic
veins
1. Melphalan
Administration
directly into
Hepatic Artery
blood flow
4. Filtered Blood returned
to systemic circulation via
jugular vein
 
 

 
 
5 DELCATH SYSTEMS, INC
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
                               
Clinical Program
Phase I
Unresectable
hepatic tumors
N=34 PHP
Phase II
Unresectable hepatic tumors
N=56 PHP
Phase III
Melanoma
N=93 44 PHP, 49 BAC
OS Follow-up
EAP Program
Melanoma
EU
Retro-
Registry
EU Propsective Registry
Phase III
Hepatocellular Carcinoma
 
 

 
DELCATH SYSTEMS, INC
ODAC U.S. NDA Still Under Review
 Oncology Drug Advisory Committee (ODAC) negative vote based on
 Gen 1 Data
 NDA filing included:
 o Gen 2 filter contained in the Chemistry, Manufacturing and Control
 (CMC) module as a technical change
 Waiting for FDA Clarification of what additional Gen 2 clinical data is
 required 
 o Actively collecting Gen 2 Clinical Data
 § US EAP (melanoma)
 § EU Retrospective & Prospective Registries (mixed
 histologies)
 PDUFA Goal Date: September 13, 2013
 Initial indication: seeking unresectable metastatic ocular melanoma in
 the liver
FDA Decision Expected in September
 
 

 
7 DELCATH SYSTEMS, INC
ODAC Patient Letter
 
 

 
8 DELCATH SYSTEMS, INC
ODAC Briefing Materials Available on Website
 
 

 
DELCATH SYSTEMS, INC
Phase 2 NCI Trial Hepatobiliary Carcinoma Cohort
 Best hepatic tumor response by modified RECIST assessed by investigators
 o Partial response (PR)  1 patient
 o Stable disease (SD)  4 patients
 o Progressive disease                                                                                      1 patient
 o Not assessed or evaluable 2 patients
 Median duration of response
 o hPR (N=1)    6.42 months
 o hPR/SD (N=5)   8.12 months  
 Hepatic progression free survival (ITT N=8)
 o Median    5.60 months
 o Minimum, Maximum                                                                                                    2.7, 12.2 months
 Overall survival (ITT N=8)
 o Median    9.12 months
 o Minimum, Maximum                                                                                                    3.4, 20.5 months
 HCC is the most common primary cancer of the liver, with approximately 750,000* new
 cases diagnosed worldwide annually
 Intend to initiate new Phase 3 trial in HCC in 2013
 o Met with FDA and obtained feedback on trial design
Encouraging Positive Signal for Primary Liver Cancer
*Source: GLOBOCAN
 
 

 
10 DELCATH SYSTEMS, INC
HCC Opportunity
 Large U.S. & Global Market
 Liver centric disease, liver centric treatment
 Unmet need in 2L therapies
 Clinical Trial Design:
 o Gen 2 Filter
 o OS primary endpoint
 o No Crossover clear OS data
 o QoL data collection
 Expect Improved Safety over P2 & P3 trials:
 o P2 & P3 Protocol amendments, REMS training, and Gen 2
 CHEMOSAT System are demonstrating significantly improved
 safety in US EAP and EU Commercial Use
 
 

 
11 DELCATH SYSTEMS, INC
HCC Global Market Opportunity Estimate 
Sources: LEK Consulting, GLOBOCAN, Company estimates.
 1) Assume 2.5 treatments per patient.
 2) US Assumes ASP of ~$75K USD
 3) EU Assumes ASP of ~$15K USD; mix of direct/distributor pricing
 4) APAC Assumes ASP of ~$5K USD; device only
Market
# Patients
Potential #
Procedures
Potential Market
($MM)1,2,3
United States
5,586
13,964
$ 1,047
Europe
7,671
 
19,177
$277
APAC
99,749
249,373
$ 1,156
TOTAL
113,006
282,514
$2,480
Attractive U.S. & Global HCC Market Opportunity
 
 

 
12 DELCATH SYSTEMS, INC
US Market by Disease Device and Drug Combination
Liver Metastasis
Potential Market
# Patients
Potential Market
# Procedures
Potential Market
($MM)1,2,3
Ocular
Melanoma
1,685
4,213
$ 300
HCC (Primary)
5,586
13,964
$ 1,047
CRC
19,861
49,653
$ 1,241
NET
8,212
20,530
$ 513
Cutaneous
Melanoma
7,023
17,557
$ 439
TOTAL
42,367
105,917
$ 3,540
Sources: LEK Consulting, GLOBOCAN, Company estimates.
1) Assume 2.5 treatments per patient.
2) Assume ASP of $75K for Ocular Melanoma/HCC (estimated orphan drug pricing)
3) Assume ASP of $25K in Cutaneous Melanoma, CRC, NET
 
 

 
13 DELCATH SYSTEMS, INC
Europe Market by Disease Device Only
 
Germany
(Direct)
UK
(Direct)
France
(Indirect)
Italy
(Indirect)
Spain
(Indirect)
Netherlands
(Direct)
Ireland
(Direct)
Total
Potential
(patients)
Potential
Market
($ MM)1,2,3
 
Total Potential Market #Patients
Ocular
Melanoma
404
297
295
285
197
79
19
1,576
$ 62
Cutaneous
Melanoma
1,625
994
753
801
360
379
73
4,987
$ 206
HCC
(Primary)
1,637
720
1,514
2,597
1,087
82
35
7,671
$277
CRC
9,902
5,300
5,475
7,281
4,016
1,644
335
33,953
$1,339
NET
1,783
1,336
1,353
1,299
974
360
98
7,202
$ 281
TOTAL
15,351
8,647
9,389
12,263
6,634
2,545
560
55,389
$ 2,166
Europe Presents Significant Potential Market Opportunity
Sources: LEK Consulting, GLOBOCAN, Company estimates.
1) Assumes 2.5 treatments per patient.
2) Assumes ASP of ~$15K USD.
3) Assumes mix of direct sales and distributors.
 
 

 
14 DELCATH SYSTEMS, INC
APAC Market by Disease
 
China
(Device)
S. Korea
(Device)
Japan
(Device)
Taiwan
(Device)
Australia
(Device)
Total
Potential
(patients)
Potential
Market
($MM)1,2
 
Total Potential Market #Patients
HCC
(Primary)
85,780
3,258
8,296
2,152
263
99,749
$ 1,156
Other
CRC
31,127
3,245
14,298
1,441
2,031
52,143
 $ 642
NET
29,197
1,048
2,759
500
462
33,966
$ 393
Ocular
Melanoma
1,765
66
175
31
96
2,134
$ 25
Cutaneous
Melanoma
382
43
136
246
1,144
1,951
$ 23
OTHER
TOTAL
62,472
4,403
17,368
2,218
3,733
90,194
$ 1,083
TOTAL
148,104
7,661
25,665
4,370
3,996
189,943
$ 2,239
APAC Target Markets Represent Over $2 Billion Potential Market Opportunity
Sources: LEK Consulting, GLOBOCAN, Company estimates.
1) Assume 2.5 treatments per patient.
2) Estimated ASP of ~$5K.
 
 

 
15 DELCATH SYSTEMS, INC
2013 Clinical Development Plan
 Hepatocellular carcinoma (HCC) Trial Design:
 Global Phase 3 Randomized (1:1)
 CHEMOSAT/MELBLEZ Melphalan vs. best supportive
 care (BSC) for patients who have failed Sorafenib (or
 are intolerant due to unacceptable toxicity)
  Primary endpoint: Overall Survival w/no crossover
  Secondary endpoints: hPFS, hORR, extra-hepatic PFS
  Exploratory analysis: QoL
 Planned, small phase 2 studies including Investigator-
 initiated trials (IITs) in multiple indications: HCC, NET, CRC,
 Melanoma
Establish PHP/Melphalan as Standard of Care (SOC) for Disease Control in the Liver
 
 

 
16 DELCATH SYSTEMS, INC
Additional Clinical Data Generation
 Goals:
 § Expand US (PHP: MEL) label indications beyond the initial
 indication we are seeking
 § Generate robust clinical data to support commercialization
 FDA has accepted IND Amendment that includes Gen 2 device
 in US Expanded Access Program (EAP), compassionate use
 (CU), and all future clinical trials
 Initiated US EAP with Gen 2 to treat first patient in January,
 2013; 2 patients treated (1 twice), 4 additional currently
 scheduled
 Activate EU Registries to systematically collect Gen 2 data from
 commercial experience
 Include Taiwan Partner Chi Fu in Global HCC P3 trial
Establish PHP/Melphalan as Standard of Care (SOC) for Disease Control in the Liver
 
 

 
17 DELCATH SYSTEMS, INC
Publications: Abstracts Accepted in 2012
 Over 20 Abstracts Accepted and Presented in 2012
Ø Moeslein F. Chemosaturation therapy - evolution, clinical
 experience and applications.
Ø Deneve JL. Percutaneous hepatic perfusion for unresectable
 metastatic sarcoma to the liver.
Ø Wood B. Isolated liver perfusion.
Ø Zager J. Chemosaturation therapy with percutaneous hepatic
 perfusions of melphalan versus standard of care in patients
 with hepatic metastases from melanoma: A randomized
 multicenter phase 3 study.
Ø Ferrucci P. Chemosaturation therapy as part of patient
 management: an oncologist's perspective.
Ø Orsi F. First European center experience with chemosaturation:
 an IR's perspective.
Ø Vogl TJ. Chemosaturation therapy: an Interventional
 Radiologist's perspective on where it fits now and in the future.
Ø Ferrucci P. Chemosaturation therapy with percutaneous
 hepatic perfusion (CS-PHP) for unresectable hepatic
 metastases: the European Institute of Oncology (EIO)
 Experience.
Ø Moeslein F. Chemosaturation with percutaneous hepatic
 perfusions: vasopressor, nitroglycerin, and pre-embolization
 requirements
Ø Moeslein F. Chemosaturation with percutaneous hepatic
 perfusions (CS-PHP): Utilization of vasopressors, nitroglycerin,
 and pre-embolization
Ø Moeslein F. Chemosaturation using percutaneous hepatic perfusion: pre-
 embolization of GI branches in a phase 3 clinical trial.
Ø Alexander HR. Percutaneous hepatic perfusion (PHP or CHEMOSAT®) with
 melphalan versus best alternative care in patients with hepatic
 metastases from melanoma: A post-hoc analysis of PHP-randomized vs
 BAC-to-PHP crossover vs BAC-only pts.
Ø Gardner ER. Pharmacokinetic analysis of Percutaneous Hepatic Perfusion
 (PHP) of melphalan in patients with hepatic metastases from melanoma.
Ø Alexander HR. Hepatic perfusion (CHEMOSAT® or CS-PHP) of melphalan
 vs. best alternative care in patients with hepatic metastases from
 melanoma: Update of a randomized phase 3 study.
Ø Gardner ER. Percutaneous hepatic perfusion (CHEMOSAT® or CS-PHP) of
 melphalan in patients with hepatic metastases from melanoma: Phase III
 pharmacokinetic analysis
Ø Testori A. Chemosaturation therapy with percutaneous hepatic perfusion
 (CS-PHP) for unresectable hepatic metastases: the European Institute of
 Oncology (EIO) Experience
Ø Gardner ER. Pharmacokinetic Analysis of Percutaneous Hepatic Perfusion
 of Melphalan in Patients with Hepatic Metastases from Melanoma
Ø Orsi F. Role of regional therapies compared with advances in systemic
 treatment for melanoma
 
 

 
18 DELCATH SYSTEMS, INC
New Publications in 2012
 Deneve, Jeremiah L., et al. "Chemosaturation with Percutaneous Hepatic Perfusion for
 Unresectable Isolated Hepatic Metastases from Sarcoma."
Cardiovasc Intervent
 Radiol
(2012)
 Leong, Stanley PL, et al. "Progression of Cutaneous Melanoma: Implications for
 Treatment."
Clin Exp Metastasis (2012)
 
 

 
19 DELCATH SYSTEMS, INC
A Glimpse of 2013 Publications Thus Far
 Publications
 o Uzgare RP, et al. Evaluation of
 melphalan, oxaliplatin, and paclitaxel in
 colon, liver, and gastric cancer cell lines
 in a short-term exposure model of
 chemosaturation therapy by
 percutaneous hepatic perfusion.
 Anticancer Research. 2013;33:1989-
 2000.
 o Rofo German publication submission
 pending
 
 

 
20 DELCATH SYSTEMS, INC
2013 Abstracts
 Abstracts presented in Q1 2013
 Other accepted abstracts to be presented
o Forster M. Percutaneous hepatic perfusion for unresectable melanoma or sarcoma to the
 liver: a single institution experience.
o Testori A. Chemosaturation therapy with percutaneous hepatic perfusion for
 unresectable liver metastases: the European Institute of Oncology (EIO) experience.
o Ferrucci P. Chemosaturation with percutaneous hepatic perfusions (CS-PHP) of melphalan
 for hepatic metastases: a comparison between old and new-generation high-efficiency
 filters. CIRSE 2013
 
 

 
21 DELCATH SYSTEMS, INC
2013 Planned Publications
 Agarwala, et al. “Treatment of Melanoma Liver Metastases:
 Impact on Overall Survival”
 Under Review
 Ferrucci, et al. Experience with Generation 1 Filters vs
 Generation 2 Filters”
 Under Review.
 Alexander, et al. Review of Percutaneous Hepatic Perfusion
 for Ocular Melanoma Liver Metastases” 
To be published in
 American Oncology and Hematology
 Zager, J. “Moffitt Cancer Center Experience with PHP”,
 submission pending
 Phase III and Phase II Publications final stages of review
 
 

 
22 DELCATH SYSTEMS, INC
CHEMOSAT: EU Commercial Launch Underway
 Marketing in target EU countries Italy, Germany, France,
 UK, Ireland, NL, Spain
 Training completed in key centers
 o Nine EU Clinical Sites activated as of March, 2013
 EU clinicians using CHEMOSAT for a broad range of liver
 metastases
 o Use includes: cutaneous melanoma, ocular melanoma, colorectal cancer
 (CRC), gastric cancer, breast cancer, neuroendocrine tumor (NET),
 hepatocellular carcinoma (HCC) and Cholangiocarcinoma
 EU reimbursement: work in progress
 o Italy Existing DRG for partial reimbursement identified; supplemental
 reimbursement applications submitted
 o Germany Value 4 NUB interim reimbursement pathway granted February 2013
 o UK Reimbursement anticipated Q2 2013
 
 

 
23 DELCATH SYSTEMS, INC
Active CHEMOSAT Centers in Europe
 Milan, Italy European Institute of Oncology (IEO)
 Frankfurt, Germany – Johann Wolfgang Goethe-Universität (JWG)
 Villejuif, France – Cancer Institute Gustave Roussy (IGR)
 Bordeaux, France – Hôpital Saint-André (St Andre)
 Galway, Ireland – University Hospital Galway (UHG)
 Southampton, United Kingdom – Southampton University Hospital (SUH)
 Göttingen, Germany – University Medical Center Göttingen (UMG)
 Varese, Italy – Varese University Hospital (VUH)
 Amsterdam, The Netherlands – Netherlands Cancer Institute- Antoni van
 Leeuwenhoek Hospital (NKI)
 
 

 
24 DELCATH SYSTEMS, INC
CHEMOSAT: Multiple Tumor Types Treated in Europe
 Physicians are recognizing the potential of CHEMOSAT in various tumor types
 CHEMOSAT utilized in Germany, Italy, UK, France, Ireland, and the Netherlands
 EU Retrospective Data Collection to be initiated in Q2
 EU Prospective Registry To Be Initiated Q3
 
 

 
     
     
     
     
     
Germany
   
The
Netherlands
   
The
Netherlands
kanker-actueel.nl
 
Italy
25 DELCATH SYSTEMS, INC
Fondazione Melanoma
 
 
 

 
26 DELCATH SYSTEMS, INC
EU Coverage Excerpts
 
 

 
27 DELCATH SYSTEMS, INC
Financial Update
Cash & Cash Equivalents:
$42.8 million at March 31, 2013
ATM Program
up to $50.0 million available
Committed Equity Financing
Facility (CEFF)
Up to $23.9 million as of March 31, 2013
Working Capital Line of Credit:
$20 million credit facility
Debt:
None
Cash Utilization:
$11.3 million in 1Q 2013
Projected quarterly cash spend:
$9-$12 million for first half of 2013
$9-$10 million for Q3 2013
$6-$8 million for Q4 2013
Shares Outstanding:
96.8 million (107.8 million fully diluted1,2) as of
March 31, 2013
1) Fully diluted includes an additional 5.6 million options and 5.4 million warrants
2) Includes 5.6 million shares issued to Terrapin Opportunity L.P. on April 1, 2013
Multiple Capital Resources Available to Execute Plan
 
 

 
* DELCATH SYSTEMS, INC
© 2011 DELCATH SYSTEMS, INC. ALL RIGHTS RESERVED