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EX-99.2 - ROTH PRESENTATION - Lipocine Inc.v403789_ex99-2.htm
8-K - CURRENT REPORT - Lipocine Inc.v403789_8k.htm

Corporate Presentation March 2015 Exhibit 99.1

 
 

2 This presentation contains and our discussions during this conference may include forward - looking statements about Lipocine Inc. (the “Company”). These forward - looking statements are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. These forward - looking statements relate to the Company’s product candidates, clinical and regula tory processes and objectives, potential benefits of the Company’s product candidates, intellectual property and related matters, all of which involve known and unknown risks and uncertainties. Actual results may differ materially from the forward - looking statemen ts discussed in this presentation . Accordingly, the Company cautions investors not to place undue reliance on the forward - looking statements contained in, or made in connection with, this presentation . Several factors may affect the initiation and completion of clinical trials, the potential advantages of the Company’s product candidates and the Company’s capital needs. Among other things, the projected commencement and completion of the Company’s clinical trials may be affected by difficulties or delays. In addition, the Com pan y’s results may be affected by its ability to manage its financial resources, difficulties or delays in developing manufacturing pro cesses for its product candidates, preclinical and toxicology testing and regulatory developments. Delays in clinical programs, whe the r caused by competitive developments, adverse events, patient enrollment rates, regulatory issues or other factors, could adver sel y affect the Company’s financial position and prospects. Prior clinical trial program designs and results are not necessarily pre dictive of future clinical trial designs or results. If the Company’s product candidates do not meet safety or efficacy endpoints in cl inical evaluations, they will not receive regulatory approval and the Company will not be able to market them. The Company may not b e able to enter into any strategic partnership agreements. Operating expense and cash flow projections involve a high degree of uncertainty, including variances in future spending rates due to changes in corporate priorities, the timing and outcomes of cli nical trials, competitive developments and the impact on expenditures and available capital from licensing and strategic collaborat ion opportunities. If the Company is unable to raise additional capital when required or on acceptable terms, it may have to sig nif icantly delay, scale back or discontinue one or more of its drug development or discovery research programs. The Company is at an ea rly stage of development and may not ever have any products that generate significant revenue. The forward - looking statements contained in this presentation are further qualified by the detailed discussion of risks and uncertainties set forth in the d ocu ments filed by the Company with the Securities and Exchange Commission, all of which can be obtained on the Company’s website at www.lipocine.com or on the SEC website at www.sec.gov . The forward - looking statements contained in this document represent the Company’s estimates and assumptions only as of the date of this presentation and the Company undertakes no duty or obligation to update or revise publicly any forward - looking statements contained in this presentation as a result of new information, future events or changes in the Company’s expectations. Forward Looking Statements

 
 

3 Lipocine Corporate Highlights  Focused on innovative products for men’s and women’s health  Lead asset NDA filing 2H 2015  Technology platform capable of “multiple hits”  Several near term value drivers with pipeline products “Transformative“ Oral Testosterone Franchise First Oral Alternative for the Prevention of Pre - Term Birth • Best in class oral testosterone addressing a large opportunity • Positive top - line efficacy results in Phase 3 clinical study • LPCN 1021 treatment was well tolerated with no drug related or cardiac related serious adverse events * • Last patient last visit scheduled for last week of April 2015 • No additional clinical studies anticipated based on FDA confirmation * As of January 31, 2015

 
 

4 Product Pipeline LPCN 1021 - Oral Testosterone Replacement Therapy (TRT) Men’s Health LPCN 1111 - Next Generation Oral TRT Women’s Health LPCN 1107 - Pregnancy Support: Prevention of Preterm Birth Research/Preclinical Phase 1 Phase 2 Phase 3

 
 

5 Lip’ral Enables Optimal Dispersion in the Gastrointestinal Tract Lumen Aqueous Barrier Layer Membrane Systemic Circulation Improved absorption Effective transfer across aqueous barrier layer Optimal dispersed phase in GI tract Insoluble drug lipidic composition 5

 
 

6 Near Term Value Drivers 4Q 2014 1 Q 2015 2 Q 2015 3 Q 2015 4Q 2015 LPCN 1021: 1 Year Safety Data LPCN 1021: File NDA LPCN 1107: FDA Development Guidance Meeting LPCN 1021: Pre - NDA Meeting with the FDA LPCN 1021: Last Patient Last Visit LPCN 1111: Initiate Phase 2b Study* * Subject to FDA clarity on TRT “class” label

 
 

7 Testosterone Deficiency is Prevalent in U.S. 1 1. Rev. Urol Vol 5. Suppl 1 2003 S3 - S10 - Figure 2 (2) Archive of Internal Medicine 2008 • Men in their 50s 1 in 10 • Men in their 60s 1 in 5 • Men in their 70s 1 in 4 Only 12% of Men with Low T Receive TRT 2

 
 

8  US market > $2.3B in 2013 1  US market ~ 6.5M TRx in 2014 1 • 13% decrease in TRx from 2013  Current TRT “ class” label under review by FDA in US – guidance provided  International markets for TRT growing  Topicals dominate the market (~ 86% 1 of $ sales) • Inadvertent transference issue, black box warning • Poor compliance: 86 % discontinue at 12 months 2  Existing testosterone treatments are inadequate Testosterone Replacement Therapy Market 1. IMS data 2. Journal of Sexual Medicine 2013

 
 

9  Survey of 28 leading endocrinologists and urologists about oral testosterone compliance 1 • In your opinion, will oral testosterone improve patient compliance compared to existing options? x Oral T is expected to increase per patient revenue through better retention rates Oral Expected to Improve Compliance and Patient Retention 94% 0% 6% Yes No Not Sure 1. Lipocine Survey 2014

 
 

10 If Approved, Oral T…. “ will likely dramatically change the landscape with regard to testosterone therapies, because the oral route of administration will be considerably easier to use than the more cumbersome routes of administration available with the commonly used marketed products 1 ” 1. Hylton Joffe , Director DBRUP, New Drug Application 206089 for oral testosterone undecanoate capsules, Joint Advisory Committee meeting, September 18, 2014

 
 

11  Novel product primarily directed at lymphatic delivery of Testosterone Undecanoate (TU)  Enhanced profile over other forms of oral testosterone (T) • Native T has short half life • Methyl T is known to have liver safety issues  Maintains effective T blood levels when dosed BID  Target label — consistent with TRT “class” label LPCN 1021: Oral Treatment Option for TRT

 
 

12 LPCN 1021: A “Safer” TRT Option  Transfer potential to children, partner and pets  No freedom to use around pregnant loved ones  Skin irritation potential  Lung impairment potential  Scarring/injection site reactions  Risk of infection  Not flexible for dose reversals x No risk of transference x No excessive androgenic levels x Not prone to liver toxicity Topicals Injectables LPCN 1021

 
 

13 LPCN 1021: Life “Uninterrupted” with Oral T x Discrete x No waiting • Prior to dressing • In doctor’s office x Suitable for “on the go” use x No shower/swim restrictions x No mess/clean up x Non invasive Improved Compliance Convenience Enhanced Efficacy Higher Retention Rates

 
 

14 Current Regulatory Paradigm 1  Meet primary end points • Responder analysis relating to average serum concentration 0 to 24 hours ( C avg ) and lower bound Confidence Interval (CI)  Acceptable safety profile • Responder analysis relating to peak testosterone levels that is consistent with approved products • Long term safety data (at least 100 subjects, 1 year) 2 LPCN 1021 Target Clinical Success Criteria : 1. September 18, 2014 Joint Meeting of the Bone, Reproductive and Urologic Drugs Advisory Committee and the Drug Safety and Risk Management Advisory Committee Meeting, 2. 2. ICH E1 guidance document “ The extent of population exposure to assess clinical safety for drugs intended for long - term treatment of non - life - threatening conditions”

 
 

15  Open label, randomized, active - controlled study of LPCN 1021 in men with low T Study of Oral Androgen Replacement (SOAR) Trial - Phase 3 Study Design Screening N = 315 0 Week 4 Week 8 Randomization LPCN 1021 225mg, TU, BID w/ meal (n = 210) Active Control (n = 105) PK /dose titration PK /dose titration PK/Efficacy assessment Safety assessment Week 13 Week 52 Safety Extension (up to Week 52) Current Status

 
 

16  Primary Analysis Set • Efficacy Population (N=152): Subjects randomized into the study with at least one PK profile and no significant protocol deviations x Imputed missing data by Last Observation Carried Forward (LOCF)  Additional Analysis Set • Safety Set (N=210): Subjects randomized into the study and took at least one dose of the drug x Imputed missing data by Last Observation Carried Forward (LOCF) x If no PK data available, treated as treatment failure for primary endpoint analysis • Fully Analysis Set (N=192): Subjects randomized into the study with at least one post - baseline efficacy variable response x Imputed missing data by Last Observation Carried Forward (LOCF) SOAR Trial - Dataset Definition

 
 

17 SOAR Trial - Primary Endpoint: Responder Analysis and C avg Measure Efficacy Population Safety Set Full Analysis Set Number of subjects 152 210 192 % subjects with C avg w ithin normal range 88.2% 80.0% 87.5% 95 % CI lower bound 81.9% 73.8% 82.0%  Primary endpoint target ≥ 75% subjects should achieve C avg within normal range (300 ng/dL to 1140 ng/dL) and lower bound of 95% CI ≥ 65% x LPCN 1021 met both the primary endpoint targets in population sets

 
 

18 Primary Endpoint: C avg and Distribution in Subjects Range Efficacy Population C avg < 300 ng / dL 11.2 % C avg betwee n 300 and 1140 ng/ dL 88.2 % C avg > 1140 ng / dL 0.7 % Parameter Mean (CV) C avg ( ng / dL ) 447 (37%)  % of subjects with C avg in various ranges x Less than 12% of the subjects’ C avg were outside the normal range x C avg and overall variability comparable or better than marketed products Dataset: Efficacy population, N=152

 
 

19 Converging Titration Regimen Dataset: Efficacy population, N=152 Pre - titration Profile (All subjects at 225 mg) Post - titration P rofile 0 300 600 900 1200 0 6 12 18 24 Serum T Concentration (ng/dL) Time (Hr) Week 3 Subjects needing down titration Subjects needing no titration Subjects needing up titration 0 300 600 900 1200 0 6 12 18 24 Serum T Concentration (ng/dL) Time (Hour) Week 13 Subjects down titrated Subjects on starting dose Subjects up titrated

 
 

20 Final Dose (mg TU, BID) % of subjects 150 36% 225* 51% 300 13% SOAR Trial – Maintenance Dose Distribution of Subjects Dataset: Efficacy population, N=152 *starting dose x Majority of subjects with final dose of 225 mg BID

 
 

21 SOAR Trial - Titration Visits Dataset: Efficacy population, N=152 Parameter % of subjects % subjects requiring no more than one dose change (either after week 3 or week 7) 85% % subjects requiring two dose changes (both after week 3 and 7) 15% x Vast majority of subjects reached final dose with no more than one titration

 
 

22 SOAR Trial - Secondary Endpoints Measure FDA Threshold Efficacy Population Number of subjects 152 C max < 1500 ng/ dL ≥ 85 % 82.9% 1800 ≤ C max ≤ 2500 ng/ dL ≤ 5 % 4.6% C max > 2500 ng/ dL None 2.0%  Proportion of subjects achieving maximum serum total T concentrations (C max ) in predefined C max range x Results generally consistent with approved products

 
 

23  Excessive T repletion outliers were observed in three subjects  These observed excessive T repletion outliers were transient, sporadic, isolated, and not clinically meaningful • Lack of dose or dosing time dependency • None of these subjects reported any adverse events SOAR Trial - LPCN 1021 Excessive T Repletion Outliers ( C max >2500 ng / dL ) Characteristics Dataset: Efficacy population, N=152

 
 

24  Unequivocally met primary efficacy end point  Patient friendly dosing regimen • No more than one titration required in 85% of the subjects • Starting dose was the right dose for majority of the subjects  Variability consistent with or better than approved products  Consistent intra/inter day performance  Proportion of subjects with maximum serum concentrations generally consistent with approved products  LPCN 1021 treatment was well tolerated with no drug related or cardiac related serious adverse events*  Presenting results at the ENDO 2015 meeting on March 7 th SOAR Trial – LPCN 1021 Top Line Phase 3 Results Summary * as of January 31, 2015

 
 

25 Recent FDA TRT Communication (March 3, 201 5)  Changes to existing label • Narrow the intended TRT population (i.e., caused by certain medical conditions and confirmed by laboratory tests) • However, the language did not suggest contra - indicating for age related hypogonadism • Add cautionary language to label for possible cardio vascular and stroke related risk with TRT • Add cautionary language on lack of benefit and safety of TRT in age related hypogonadism  Require manufacturers of approved TRT products to conduct “a” well - designed clinical study as an industry group or separately

 
 

26  FDA confirmed that the design of the Phase 3 clinical study is currently acceptable for filing a NDA  FDA noted that a sufficient number of subjects are required with at least one baseline and post - baseline efficacy response (Full Analysis Set) to provide adequate power to demonstrate efficacy  FDA did not identify any additional clinical studies that would be required for NDA filing  FDA acknowledged that they are still internally discussing the advice and recommendations from the FDA Advisory Committee held on September 17, 2014 FDA Confirmation to Lipocine

 
 

27 Competitive Environment for Oral Testosterone Rextoro™: Clarus Therapeutics Current Status • Advisory Committee voted 18 - 3 that the overall benefit/risk profile of Rextoro® did not support approval • PDUFA date was November 3, 2014 - no announcement of approval LPCN 1021 Advantages • Unequivocally efficacious (Restored 88% of the subjects to the normal range) • Patient and payer friendly: ‒ The majority of subjects end up on the target starting dose ‒ 85% of the subjects require no more than one titration visit • Consistent inter - day/intra - day performance Androxal®: Repros Therapeutics • Not classified as TRT, regulatory paradigm unknown and chronic use not established Current Status • Failure rate ~ 40 % of subjects in ZA - 304 Study and ZA - 305 Study • Target - younger (< 60 yrs) overweight and obese men (> 25 BMI) • NDA filing - February 2, 2015 LPCN 1021 Advantages • For both primary and secondary hypogonadism • Broader age and BMI inclusion • Targeted for established TRT market • Extensive human exposure data available with TU

 
 

28  Novel prodrug of testosterone for oral delivery through proprietary Lip’ral technology  Maintains effective T blood levels when dosed once daily  Status • Positive Phase 2a study results in hypogonadal men – Single daily oral dose provides T levels in the eugonadal range – No subject exceeded peak T levels of 1500 ng / dL • Initiate Phase 2b study - 3Q 2015 * LPCN 1111: Next Generation Oral Testosterone * Subject to FDA clarity on TRT “class” label

 
 

29  Five arm, sequential ascending dose study (N=12) • 3 single dose QD arms, (330mg, 550mg and 770mg TT) • 2 multiple dose QD arms for 28 days (550mg and 770mg TT)  Successful outcomes • Demonstrated that once daily dosing is feasible • Good dose response • Steady state achieved by day 14 • No subject exceeded C max of 1500 ng / dL on multi - dose exposure • Consistent inter - day performance • LPCN 1111 was well tolerated – No serious adverse events – Adverse events were mild to moderate LPCN 1111: Phase 2a Study in Hypogonadal Men Design and Results

 
 

30 LPCN 1111 Phase 2a Study - Responder Analysis At Day 28 Measure 550mg QD 770mg QD Typical FDA targets for approval of TRT % subjects with C avg w ithin normal range 67% 88% ≥ 75% % of subjects with C max ≤ 1500ng/ dL 100% 100% ≥ 85% % of subjects with C max between 1800ng/ dL and 2500mg/dl 0% 0% ≤ 5% % of subjects with C max >2500ng/ dL 0% 0% 0% x Once daily dosing feasibility established

 
 

31 Preterm Birth (PTB) Represents a Significant Unmet Medical Need One Preterm Infant per Minute in the US 1 □ 11.7% of all US pregnancies 2 result in PTB - a leading cause of mortality and morbidity 3 □ ~10x more first year medical costs are for PTB infants than for full term infants 4 □ ≥ $26 billion economic impact: 4 $1 billion market opportunity 5 1. Pediatric Research (2006) 60, 775 – 776; 2. CDC (2010); 3. J. Maternal - Fetal and Neonatal Medicine, Dec. 2006, 19(12), 773 – 782; 4. Institute of Medicine of the National Academies. Jul.2006; 5. AMAG Pharmaceuticals presentation 09/29/2014

 
 

32  Potential to be the first oral standard - of care therapy • Same API as in the only approved injectable product • Elimination of 18 - 22 injections • Potential for orphan drug designation  Status • Successful Phase 1a POC study in healthy non - pregnant women • Successful Phase 1b POC in pregnant women • Next step - Discuss development plan with the FDA (2Q - 3Q 2015) LPCN 1107 : Oral Candidate for Prevention of Preterm B irth

 
 

33  Open - label, three period, three treatment serial dosing study (N=8) • Period 1 : Two doses, 400 mg LPCN 1107 administered 12 hours apart • Period 2: Two doses, 800 mg LPCN 1107 administered 12 hours apart • Period 3: Single dose of 250 mg IM HPC  Periodic blood sampling: Oral up to 24 hours, IM up to 28 days  Successful outcomes • First demonstration of relevant hydroxyprogesterone caproate levels following oral administration in pregnant women • Projected dose between 400 and 800 mg twice a day is expected to be comparable to marketed 250 mg weekly IM product • LPCN 1107 was well tolerated • Relative bioavailabilities similar between pregnant and non - pregnant women LPCN 1107: Phase 1b Pregnant Women Study - Design and Outcomes

 
 

34 LPCN 1107: Phase 1b Study in Pregnant Women - Results * one subject data analysis pending  Single dose pharmacokinetic parameters Dose (BID) (N=7*) C max (ng/ml) [range] AUC 0 - 24 ( ng.h /ml) [range] 400mg BID 21.3 [11.5 – 36.2] 156 [81 – 234] 800mg BID 63.2 [37.8 - 144] 577 [323 – 1365] x First demonstration of relevant hydroxyprogesterone caproate levels following oral administration in pregnant women

 
 

35 LPCN 1107: Phase 1b Study in Pregnant Women - Results * one subject data analysis pending # AUCss calculated for post steady state 1 week duration  Simulated steady state pharmacokinetic parameters Products / Dosing Regimen (N=7*) C ss,max (ng/ml) [range] AUC SS ( ng.h /ml ) # [range] LPCN 1107 / 400mg BID 21.6 [12.1 – 36.2] 1074 [573 - 1601] LPCN 1107 / 800mg BID 71.1 [43.8 – 144.1] 4058 [2180 - 7701] Intramuscular injection / 250mg weekly 13.0 [6.5 – 29.4] 1817 [805 - 3904] x Projected dose between 400 and 800 mg twice a day is expected to be comparable to marketed 250 mg weekly IM product

 
 

36 LPCN 1107: Phase 1b Study in Pregnant Women - Results * one subject data analysis pending # AUCss calculated for post steady state 1 week duration  Bioavailability in pregnant (study LPCN 1107 - 14 - 003) and non - pregnant women (study LPCN 1107 - 14 - 001) Study population (N) AUC SS ( ng.h /ml) # Relative bioavailability [oral / IM] LPCN 1107/ 400 mg BID Oral Intramuscular Injection / 250 mg weekly Pregnant women (7*) 1074 1817 59 % Non - pregnant women (10) 1348 2468 55 % x Relative bioavailabilities similar between pregnant and non - pregnant women

 
 

37 Competitive Environment for HPC for Prevention or Preterm Birth Makena®: AMAG Pharmaceuticals, Inc. Current Status • Recently acquired from Lumara Health in November 2014 for $675M in upfront payments and potential additional contingent consideration of up to $350M • Net sales of Makena in 2014 were approximately $165.0 million • Projected 2015 net sales of between $245.0 and $270.0 million • Orphan Drug Exclusivity till 2018 Makena ® Attributes • Weekly injection (given every 7 days) in doctor’s office or home • Significantly lowered the rate of preterm birth versus those not on Makena • Injection site pain (35%), swelling (17%) • Treatment begins between weeks 16 and 20 of pregnancy • May cause serious side effects LPCN 1107 Advantages • Patient and payer friendly ‒ Non - invasive ‒ Reduced n umber of doctor visits • No injection site reactions • No potential for pulmonary embolism

 
 

38 Lipocine is a Compelling Value Proposition Stock Exchange NASDAQ Capital Markets Ticker Symbol LPCN Closing Stock Price (2/27/15) $7.24/share Market Capitalization (2/27/15) $92.7 million Fully Diluted Shares Outstanding (2/27/15) 14,356,586 Warrants Outstanding 0.14% Cash Balance (9/30/14) $31.7 million Debt None

 
 

39 Lipocine Corporate Highlights  Focused on innovative products for men’s and women’s health  Lead asset NDA filing 2H 2015  Technology platform capable of “multiple hits”  Several near term value drivers with pipeline products “Transformative“ Oral Testosterone Franchise First Oral Alternative for the Prevention of Pre - Term Birth • Best in class oral testosterone addressing a large opportunity • Positive top - line efficacy results in Phase 3 clinical study • LPCN 1021 treatment was well tolerated with no drug related or cardiac related serious adverse events * • Last patient last visit scheduled for last week of April 2015 • No additional clinical studies anticipated based on FDA confirmation * As of January 31, 2015