Attached files

file filename
8-K - FORM 8-K - AERIE PHARMACEUTICALS INCd724124d8k.htm
EX-99.1 - EX-99.1 - AERIE PHARMACEUTICALS INCd724124dex991.htm
Aerie Pharmaceuticals, Inc.
Company Overview
May 12, 2014
Leading
Innovation in
Glaucoma
The Next
Generation
Exhibit 99.2


2
Important Information
Important Information
Any discussion of the potential use or expected success of our product candidates is subject to our
product candidates being approved by regulatory authorities.  In addition, any discussion of clinical data
results for our Rhopressa product candidate relate to the results in our Phase 2 clinical trials.  Our
product candidate Roclatan is currently in Phase 2 clinical trials.
The information in this presentation is current only as of its date and may have changed or may change
in the future. We undertake no obligation to update this information in light of new information, future
events or otherwise. We are not making any representation or warranty that the information in this
presentation is accurate or complete. 
Certain statements in this presentation are “forward-looking statements” within the meaning of the
federal securities laws, including beliefs, expectations, estimates, projections and statements relating to
our business plans, prospects and objectives, and the assumptions upon which those statements are
based.  Words such as “may,” “will,” “should,” “would,” “could,” “believe,” “expects,” “anticipates,” “plans,”
“intends,” “estimates,” “targets,” “projects” or similar expressions are intended to identify these forward-
looking statements.  These statements are based on the Company’s current plans and
expectations.  Known and unknown risks, uncertainties and other factors could cause actual results to
differ materially from those contemplated by the statements.  In evaluating these statements, you should
specifically consider various factors that may cause our actual results to differ materially from any
forward-looking statements. These risks and uncertainties are described more fully in the quarterly and
annual reports that we file with the SEC, particularly in the sections titled “Risk Factors” and
“Management’s Discussion and Analysis of Financial Condition and Results of Operation.”  Such
forward-looking statements only speak as of the date they are made.  We undertake no obligation to
publicly update or revise any forward-looking statements, whether because of new information, future
events or otherwise, except as otherwise required by law.


3
Aerie –
Next Generation in Glaucoma Therapies
Rhopressa
TM
Triple Action
All Products Fully
Owned by Aerie
Roclatan
TM
Quadruple Action
Fixed
combination
of
Rhopressa
TM
and
latanoprost
Potential for maximal IOP lowering
Expect P2b results late June or early July 2014,
P3 readiness mid-2015
Inhibits ROCK and NET, targets diseased tissue
Consistent IOP lowering,
lowers EVP
Expect P3 efficacy data mid-2015, NDA filing mid-2016
Large Market
Opportunity
$4.5B US/EU/JP Market with significant unmet needs
Multiple MOAs, once daily, high efficacy and safety
Late-stage/potential blockbuster revenue opportunity
Full patent protection through at least 2030
Will retain US rights and plan to partner in
JP/EU


4
Largest Rx market in ophthalmology: $4.5B US/EU/JP
US Glaucoma patients: 2.7M growing to 4.3M by 2030
1
Patients on more than one drug to control disease: 50%
No commonly prescribed drugs:
target the diseased tissue
relax the main fluid drain and lower EVP
Glaucoma Market 
Glaucoma Market 
1
National Eye Institute
show consistent efficacy across a broad range of 
pressures
Expanding Market
Unmet Needs


5
increase
Decreases Fluid
Inflow/Production
(Ciliary Processes)
Aerie Covers the IOP-lowering Spectrum
Aerie Covers the IOP-lowering Spectrum
Increases Fluid Outflow:
Secondary Drain
(Uveoscleral Pathway)
Increases Fluid Outflow:
Primary
Drain
(Trabecular
Meshwork);
Lowers EVP
(Episcleral Venous Pressure)
Rhopressa™
Rhopressa™
Roclatan™
Roclatan™
AA, BB, CAI
AA, BB, CAI
PGAs
PGAs


Once Daily
2-3 Times
Daily
Non-PGA
Market
PGA: Prostaglandin Analogue; BB: Beta Blocker; AA: Alpha Agonist; CAI: Carbonic Anhydrase Inhibitor
PGA
Market
FY 2013 US Glaucoma Market = $2.0B; 31.5M TRx
Market Share in TRx
Current Product Dashboard
Bimatoprost,
11%
Travoprost,
10%
Latanoprost,
32%
BB, 15%
BB Fixed
Combo, 14%
AA, 10%
CAI, 8%
6


7
Aerie Competitive Advantage
Aerie Competitive Advantage
Clinical Efficacy
Clinical Efficacy
Doses
Doses
Per
Per
Day
Day
Tolerability
Tolerability
Peak Product
Peak Product
Sales*
Sales*
Targeting
Targeting
Diseased
Diseased
Tissue
Tissue
Rhopressa
TM
High; Consistent
1
Hyperemia
Yes
Roclatan
TM
Potentially
Highest
1
TBD
Yes
PGA
High
1
Hyperemia
Iris Color Change
Other Cosmetic
$1.7B
No
Beta  
Blocker
Moderate
2
Cardiopulmonary
Contraindications      
>$500M
No
CAI
Low
2 -
3
Sulfonamide
Contraindication
Bitter Taste
>$500M
No
Alpha
Agonist
Low
2 -
3
Allergy 
Drowsiness
>$400M
No
* Peak worldwide sales for best-in-class franchise.


8
New MOAs
AR-13324 (Aerie)
ROCK/NET inhibitor (qd)
Phase 2b
K-115 (Kowa)
ROCK inhibitor (bid)
Phase 3
(Japan)
AMA0076 (Amakem)
ROCK inhibitor (bid)
Phase 2a
INO-8875 (Inotek)
Adenosine-A1 agonist (bid)
Phase 2
OPA-6566 (Acucela)
Adenosine-A2a agonist
(bid)
Phase 1/2
SYL040012 (Sylentis)
RNAi beta blocker (bid)
Phase 2
New PGAs -
not usable as add-on to current PGAs
Glaucoma Competitors in Pipeline
Rhopressa
TM
is
the
only
new
MOA
product
dosed
once-daily
New PGAs
BOL-303259 (B+L)
NO donating latanoprost (qd)
Phase 3
DE-117 (Santen)
EP2 agonist (qd)
Phase 2a
ONO-9054 (Ono)
FP/EP3 agonist (qd)
Phase 1


9
Future drug of choice for the
80% of patients with IOP of     
26 mmHg or less
Future product of choice for
patients requiring maximal IOP
lowering
Triple-Action
Rhopressa
TM
Quadruple-Action
Roclatan
TM
Aerie Market Positioning
Also for PGA users as add-on
therapy
Also for PGA non-responders and
those with tolerability concerns
Also for patients with low-tension
glaucoma
Efficacy potentially superior to all
currently marketed drugs
For patients with IOPs above          
26 mmHg
Also for patients at any IOP with
significant disease progression


10
Triple-Action Rhopressa
TM
TM
Cornea
Uveoscleral
Outflow
Rhopressa
Trabecular
Meshwork
1.
ROCK inhibition relaxes TM, increases outflow
2.
NET inhibition reduces fluid production
3.
ROCK inhibition lowers EVP
Episcleral
Veins
Schlemm’s
Canal
Mechanisms of Action:
RKI
NET
Ciliary Processes
RKI
NET
RKI
TM


11
13 glaucoma NCEs advanced from Phase 2 to Phase 3
since 1970s -
All approved
Once-daily PM dosing of
0.02% Rhopressa
TM
is highly
effective
-
IOP -5.7 and -6.2 mmHg  on D28
and D14
-
Consistent efficacy through D28
Rhopressa
TM
efficacy results
within ~1 mmHg of
latanoprost
Favorable tolerability profile
No systemic side effects
Rhopressa
TM
Efficacy 8 AM
Diurnal Average IOP -
Entry IOP 22-36 mmHg  (n=221)
Rhopressa
0.01% (n=74)
Rhopressa
0.02% (n=71)
Latanoprost
(n=76)
Rhopressa
TM
: Strong IOP Lowering in Phase 2b
TM
Rhopressa
0.02% q.d.
TM
TM


Rhopressa
TM
and latanoprost
clinically and statistically
equivalent in patients with
moderately elevated IOPs           
of 22 -
26 mmHg
Latanoprost loses ~1 mmHg
efficacy
Rhopressa
TM
maintains consistent
efficacy
Latanoprost does not target the
diseased tissue –
Rhopressa
TM
does
Phase
2b
baseline
IOP
entry
requirements:
24,
22,
22
mmHg
(8am,
10am,
4pm)
Differentiated Rhopressa
TM
Efficacy Profile        
Latanoprost
Baseline
22 –
26 mmHg
(n=106)
Latanoprost
0.02%
Rhopressa
Baseline
22 –
36 mmHg
(n=221)
Full Patient Population
Moderately Elevated IOP
0.02%
Rhopressa
12


13
Phase 2b data provided
first sign of EVP-lowering:
Phase 1 study in low baseline IOP subjects:
Preclinical in vivo study:
Note: EVP contributes up to half of IOP in normotensive subjects
Consistent efficacy across baseline IOPs
Lowered average IOP by over 30%
from 16 to 11 mmHg
Lowered EVP by 35%
Rhopressa
EVP-Lowering
Breakthrough


14
10,444 individuals were
screened for the prevalence of Primary Open-Angle Glaucoma (POAG)
~80% of Glaucoma IOPs Are
26 mmHg           
at Time of Diagnosis
Baltimore Eye Survey
* Sommer A, Tielsch JM, Katz J et al. Relationship between intraocular pressure and primary open angle
glaucoma among white and black Americans: The Baltimore eye survey. Arch Ophthalmol 1991;109:1090-1095
Baseline IOP
(mmHg)
Percentage of POAG
Patients Identified
Cumulative Percentage
15
13%
13%
16-18
24%
37%
19-21
22%
59%
22-24
19%
78%
25-29
10%
88%
30-34
9%
97%
35
3%
100%


15
Latanoprost and Timolol Show Reduced Efficacy   
Latanoprost and Timolol Show Reduced Efficacy   
at Lower Baseline IOPs
at Lower Baseline IOPs
Latanoprost and timolol
lose efficacy as baseline
IOPs decline
Timolol at least 1 mmHg
less effective
than
latanoprost across all
published baselines
Rhopressa
equivalent/    
non-inferior
to latanoprost  
at baselines 22 –
26 mmHg
Timolol is the standard
comparator for glaucoma
Phase 3 trials
Pooled data from three latanoprost registration studies.
Hedman and Alm; European Journal Ophthalmology;2000
0
-2
-4
-6
-8
-10
-12
-14
-16
Timolol (n = 369)
Latanoprost (n = 460)
16
18
20
22
24
26
28
30
32
34
36
38
Untreated diurnal IOP (mmHg)


16
Rhopressa
TM
Registration Trial Overview
Primary efficacy endpoint: IOP at all time points through Day 90
Non-inferiority design vs. timolol
-
95%
CI
within
1.5
mmHg
at
all
time
points,
within
1.0
mmHg
at
a
majority
of
time points
Planned entry IOP: Over 20 mmHg and less than 27 mmHg
-
FDA
has
agreed
to
Aerie
proposal
for
entry
IOPs
with
no
expected
impact
on
label
-
Rhopressa
TM
non-inferior to latanoprost at entry IOPs of 22-26 mmHg in
Phase 2b
FDA discussions on Phase 3 design now complete
-
Combined trials to include approximately 1,300 total patients
-
100 patients of 12 month safety data needed for NDA filing


17
Rhopressa
TM
Registration Trial Design
“Rocket 1”
90-Day Efficacy Registration Trial:
Rhopressa
TM
0.02%
QD
~200
patients
Timolol
BID
~200
patients
“Rocket 2”
One Year Safety (3 mo. interim efficacy) Registration Trial:
Rhopressa
TM
0.02%
QD
Rhopressa
TM
0.02%
BID
~230
patients
Timolol
BID
~230
patients
1
PGAs have been shown to be less effective when dosed BID
“Rocket 3”
One Year Safety-Only Study –
Canada:
Rhopressa
TM
0.02%
QD
~90
patients
Rhopressa
TM
0.02%
BID
~90
patients
Timolol
BID
~60
patients
~230 patients
1


Ciliary Processes
Cornea
Uveoscleral
Outflow
NET
RKI
NET
RKI
Trabecular
Meshwork
Episcleral
Veins
Schlemm’s
Canal
Latanoprost
Quadruple-Action Roclatan
TM
Rhopressa
TM
MOAs:
RKI
PGA
RHOPRESSA
TM
FIXED
COMBINATION
WITH
LATANOPROST
1.
ROCK
inhibition
relaxes
TM,
increases
outflow
2.
NET
inhibition
reduces
fluid
production
3.
ROCK
inhibition
lowers
EVP
4.
PGA receptor activation
increases uveoscleral
outflow


19
Roclatan
TM
: Quadruple-Action Fixed Combination
First product to lower IOP through
all three known mechanisms, and
also lowers EVP     
-
Once-daily: 1 drop, 2 drugs, 3 MOAs
High efficacy in predictive 
primate model
Human proof of concept
established in prior ROCKi/PGA
combination trials
-
Demonstrated significant IOP
lowering beyond PGA alone
Day 2 -
No IOP
measured
Dose
Dose
Dose
0.02% Roclatan
TM
vs. Latanoprost
Primates (n=6/group)
Latanoprost
Roclatan
TM


20
Roclatan
TM
TM
Phase 2b Clinical Trial Design
Primary efficacy endpoint: Mean
diurnal IOP on Day 28
Two concentrations of Roclatan
vs.
Rhopressa
TM
0.02%
and
latanoprost
Trial design similar to registration
trial for fixed-dose combination
-
1-3 mmHg superiority vs. components
previously accepted by FDA
Phase 2b Protocol
Roclatan
TM
0.01%
vs.
Roclatan
TM
0.02%
vs.
Rhopressa
TM
0.02%
vs.
Latanoprost
All dosed QD PM
~300 patients
28 days
TM
June or early July 2014
Results expected to be released late


21
Key Milestones Financed by IPO Proceeds
Key Milestones Financed by IPO Proceeds
Started Phase 2b clinical trial
H1 2014
H1 2014
H2 2014
H2 2014
H2 2015
H2 2015
H1 2015
H1 2015
Start Phase 3 registration
trials
Late June or Early July 2014:
Roclatan
TM
Results from Phase 2b
expected
Efficacy results from
Phase 3 expected
H1 2016
H1 2016
Phase 3 prep
NDA filing expected
TM
Early-2014: Roclatan
Early 3Q 2014: Rhopressa
Mid-2015: Rhopressa
Mid-2016: Rhopressa
Mid-2015: Roclatan
TM
TM
TM
TM


22
Rhopressa
TM
Phase 3 registration trials
Direct clinical -
$25.0M
Non-clinical -
$12.4M
Roclatan
TM
Phase 2b clinical trial
Direct clinical -
$2.5M
Non-clinical -
$1.0M
Phase 3 enabling activities
Non-clinical -
$6.3M
G&A and working capital -
$20.8M
Use of IPO Proceeds:
$68M through Mid-2016
Additional Roclatan
TM
Needs:
$40M through Mid-2017
Roclatan
TM
Phase 3 registration trials
Direct clinical -
$25.5M
Non-clinical -
$2.0M
12 Months G&A and                              
working capital -
$12.5
Targeted
Mid-2017:
Expected
NDA
Approval
for
Rhopressa
TM
Expected
NDA
Filing
for
Roclatan
Financial Summary
Financial Summary
TM


23
Market
Cap
(dollars
in
millions)
10/31/13
-
$243.7
12/31/13
-
$418.2
5/9/14
-
$348.0
23
Aerie Stock & Market Cap Performance