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8-K - 8-K - ASSEMBLY BIOSCIENCES, INC.v432596_8k.htm

Exhibit 99.1

 

 

Assembly Biosciences Nasdaq: ASMB February 2016 RBC Capital Markets 2016 Healthcare Conference

 
 

C autionary Note Regarding Forward - Looking Statements The information in this presentation contains estimates and other forward - looking statements regarding future events, including statements about the therapeutic potential of our HBV and CDI programs, timing of the initiation of our planned clinical trials in each of these programs, plans, strategies, and intentions related to our programs, and projections regarding capital. Certain forward looking statements may be identified by reference to a future period or periods or by use of forward - looking terminology such as “developing”, “potential,” “projected,” “anticipated”, “positioned,” “strategy,” “should” or “may.” Such forward - looking statements, which we intend to be covered by the safe harbor provisions contained in Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, are just predictions and are subject to risks and uncertainties that could cause the actual events or results to differ materially. These risks and uncertainties include, among others: our ability to retain necessary employees and to staff our operations appropriately; the components, timing, cost and results of clinical trials and other development activities involving our product candidates; the unpredictability of the preclinical and clinical development of our product candidates and of the duration and results of regulatory review of those candidates by the FDA and foreign regulatory authorities; our anticipated capital expenditures, our estimates regarding our capital requirements, and our need for future capital; and the possible impairment of, or inability to obtain, intellectual property rights and the costs of obtaining such rights from third parties. These and other potential risks and uncertainties that could cause actual results to differ from the results predicted are more fully detailed under the heading “Risk Factors” in our Annual Report on Form 10 - K for the year ended December 31, 2014, and other reports filed with the Securities and Exchange Commission. It is not possible for Assembly management to predict all risks nor can Assembly assess the impact of all factors on its business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward - looking statements Assembly may make. In light of these risks, uncertainties and assumptions, the forward - looking events and circumstances discussed in this presentation may not occur and actual results could differ materially and adversely from those anticipated. Except as required by law, we assume no obligation to update publicly any forward - looking statements, whether as a result of new information, future events or otherwise. 2

 
 

Investment Highlights An integrated i nfectious disease company Focus on infectious diseases  Developing best - in - class small molecules for the treatment of chronic hepatitis B (HBV)  Platform for developing drug - like oral microbiotic (MB) therapeutics World class team  Proven leadership team producing successful companies & drugs for the past 30+ years  50 employees and 35 FTEs across research and development Proprietary technologies  Novel targets with proprietary chemistry/screening platforms (HBV)  Differentiated discovery & development platform leveraging bacterial strain inventory and Gemicel ™ oral capsule delivery (MB) Strong financials  Funded through inflection points; rapid, capital efficient development  Partnership opportunities in non - infectious disease indications Our goal: Create a functional cure for chronic HBV and create a new class of medicines using our proprietary microbiome therapy technologies 3

 
 

Experienced Scientific & Leadership Team Proven leadership team producing successful companies & drugs for the past 30+ years Derek A. Small President & CEO Richard Colonno, PhD Chief Science Officer Uri Lopatin , MD CMO & VP R&D Thomas Rollins Chief Development Officer Head of Microbiome Lee Arnold, PhD Chief Discovery Officer David Barrett CFO & COO Additional team members Elizabeth Lacy , GC, VP Legal Operations Micah Mackison , VP Corp Devel . & Strategy Eric Ruby , VP Regulatory & Quality Assurance Wayne Herber , PhD VP Biologics Mfg. & Quality Hongmei Huang, PhD VP of Informatics Mohan Kabadi , PhD VP Mfg. & Process Devel . Leping Li, PhD VP of Discovery Adam Zlotnick , PhD HBV Chief Science Adv. Previous companies Drugs discovered/s ignificant contributions to devel . Gilead, Merck, BMS, Roche, Pfizer, JNJ, Cubist, Vertex, Presidio, Naurex , OSI, BASF, Deloitte, Overture, others entecavir / Baraclude ™ (HBV); r avidasvir (HCV); Incivek ™. (HCV); atazanavir / Reyataz ™ ( HIV); Crixivan ® (HIV); Tarceva ®; Sivestro ®; Zerbaxa ®; Lunesta ® ; Fosamax®, many others 4

 
 

HBV - Cure Program

 
 

HBV Opportunity: More Patients Diagnosed/Treated  ~ 240M chronically infected globally – 90M in China (top 5 health priority for s FDA ); > 10M EU; ~ 2M in USA (1) – Current standard of care is not curative in >90% of patients, yet represents >$1B/year market globally and is expected to grow significantly  Improvements in diagnostics, greater access to care and heightened awareness are driving increasing number of patients to start therapy HBV in China N umber of patients entering treatment is increasing despite a decreasing population of new patients (1) Kowdley K, Hepatology 2011; 56:422 93 28 5.6 0.6 89 20 7.5 1.4 76 15 53 13 HBV Carrier Eligible for Treatment Diagnosed Treated 2006 2015 E2025-26 (in millions) 6

 
 

HBV Core Protein: Required Throughout Lifecycle  HBV Core protein ( Cp ) is a non - enzymatic viral protein with no human homologue and is involved in entire HBV viral lifecycle (upstream & downstream) – Believed to play a critical role i n the generation and maintenance of cccDNA – R equired for creating new rcDNA from pgRNA – I mplicated in regulating host immune response • rcDNA : r elaxed circular DNA • cccDNA: covalently closed circular DNA • pgRNA: pre - genomic RNA • RT: reverse transcription 7

 
 

ASMB Goal: Curative Therapy for HBV  Current therapies are inadequate – Interferons have poor tolerability, efficacy and are not an option for many patients – Polymerase inhibitors are highly effective in inhibiting viral replication and driving viral loads to undetectable levels, but low level viral replication often persists for an extended period 1 – Polymerase inhibitors have no effect on cccDNA levels (key target to eliminate infection) – Multiple year therapy leads to very low cure rates (<10%)  To achieve clinical cure, therapy must P revent new cccDNA, I nhibit HBV proteins and E liminate (or silence) existing cccDNA 1. Marcellin et al. Poster 1861, AASLD 2014 CURE Eliminate (or Silence) Existing cccDNA Inhibit HBV Proteins Prevent New cccDNA 8

 
 

Lead Candidate: AB - 101 to Prevent cccDNA  Strong patent position on CpAMs (Core protein Allosteric Modifiers ) compositions and uses for HBV  Potent lead series – Alters Cp oligomer conformation • Reduces pgRNA packaging • Inhibits rcDNA formation • Reduces rcDNA delivery to nucleus – Prevents synthesis of new cccDNA  Profile of first candidates – Potent, pan - genotypic activity (EC 50 20 - 200nM) across multiple viral genotypes (A - D) – Highly favorable drug characteristics and PK profile in multiple species – IND - enabling studies underway  Additionally, pursuing multiple series of CpAMs for 2 nd & 3 rd Generations – Optimizing SAR for upstream - acting compounds – Multiple active series under evaluation Significant progress in 2015 – selected first lead candidate & building R&D engine 9

 
 

ASMB Hepatitis B Pipeline 2016 2017 Hepatitis B program AB - V101 ( CpAM 1 st Generation) AB - V102 ( CpAM 2 nd Generation) AB - V201 (upstream) AB - V202 ( upstream) AB - V301 (novel target) Phase 1a/1b IND enabling s tudies Phase 1a/1b IND enabling studies Lead Optimization IND enabling studies Lead Optimization Discovery Discovery Phase 2 Lead Optimization Discovery CURE Eliminate (or Silence) Existing cccDNA Inhibit HBV Proteins Prevent New cccDNA 10 Lead CpAM program projected to enter Phase 1 in 2H 2016

 
 

Microbiome Program 11

 
 

Our Microbiome Program Vision Strain Selection Development & Manufacturing Targeted Drug Delivery 12 Best - in - class microbiome program with a fully - integrated platform to deliver drug products across multiple indications and therapeutic categories

 
 

The ASMB A pproach: ‘ Druggable ’ Microbes  Problem: FMT is a procedure not a product  Solution: Replace FMT with oral microbiotic therapy comprised of GMP mono - cultured bacteria Strain Selection Development & Manufacturing Targeted Drug Delivery Proprietary & scientifically rigorous strain s election m ethodologies, Including: • Human FMT studies • S equencing and analysis protocols • in vitro and in vivo models • Isolation • Development of appropriate culture media & cultivation conditions • GMP cell banking of pure strains • GMP production of bulk material • Scale up Gemicel ™ platform technology enables targeted delivery to the colon of select strains of vegetative bacteria • Spores and • Non - spores 13

 
 

Gemicel ™: Providing Direct Delivery to Colon Our proprietary targeted delivery technology enables direct treatment in the colon Controlled release p latform Targeted d elivery Second inner c oated for bolus release of drug A in right colon First outer c oated for bolus release of drug A in ileum • GRAS ingredients • Manufacturing amenable to biologic products Despite challenges, the colon is an attractive site for drug delivery and especially for microbiotic delivery IF it can be reliably delivered Small intestine: complex pH and physiology Large intestine: c omplex flora 1.5M 6 meters GI tract has number of defenses that make colonization challenging 14

 
 

Human Sc inti g r aphy Study: Gemicel TM POC ASMB presented the bolus release demonstrated in ileum and colon in Jan 2016 P atient Representative data: Sm - 153 • Presented at the 5th Drug Formulation, Solubility & Bioavailability Summit, January 25 - 27, 2016 15 Figure: images of human Gemicel ™ gamma scintigraphy results of sm153 released in the colon

 
 

ASMB Strain Selection: Any R elevant Phyla Non - Spore F ormers Spore Formers SILVA http://www.arb - silva.de/ rRNA gene database Broad capabilities provide more tools as options for complex diseases 16 Our d iscovery and manufacturing engine , combined with Gemicel ™ allows ASMB to use multiple phyla to optimize microbiotic t herapeutics

 
 

Strain Selection Development & Manufacturing Targeted Drug Delivery Potential Microbiome Opportunities Infectious Disease • CDI (FIRST INDICATION) • Antibiotic resistant organisms Gastro • IBD • Crohn's • Ulcerative Colitis • IBS Metabolic Disease • Obesity • Diabetes CNS • Psychiatric • Neurodegenerative Oncology • Colorectal cancer • Immuno - oncology ASMB platform built for therapeutic area expansion 17

 
 

Dubberke 2012 Ghantoii 2010 National Action Plan for Combating R esistant B acteria: March 2015 Leffler DA, Lamont JT. N Engl J Med 2015;372:1539 - 1548 C. Difficile: #1 Hospital Acquired Infection in US Most common nosocomial infection in U.S D eaths annually E conomic impact in US alone C ost per episode for recurrent CDI patient A mount saved per patient to break the recurrence cycle $4.9 Billion $18,000 $50,000 29,000 18

 
 

 Efficacy : AB - M101 oral capsules will incorporate select strains of vegetative bacteria to achieve similar efficacy and safety as FMT in the treatment of rCDI – We believe that a therapy including both spore and non - spore forming bacteria, delivered specifically to the lower GI tract, can be best in class for treatment of multiple types of intestinal dysbiosis  Regulatory: Rapid regulatory/development path  Manufacturing : cGMP manufacturing of individual strains; scalable , cost efficient, reliable and consistent  IP: Gemicel ™ is a patent pending delivery technology that allows for a unique IP position for all ASMB products in the microbiome program, including AB - M101  Patient Preference: Oral treatment with dosing flexibility more acceptable to patients and may provide a better chance of efficacy/non - recurrence Initial focus: Best - in - class therapy for treatment of rCDI AB - M101: Clinical Candidate for rCDI 19

 
 

ASMB Microbiome Pipeline Lead program for recurrent rCDA projected to enter Phase 1 b in 2H 2016 2016 2017 Microbiome Program AB - M101 (Recurrent C.Diff ) AB - M102 (new indication) AB - M103 (new indication) Gemicel TM (oral delivery) Strain Library & Inventory IND enabling Phase 1b Phase 2/3 IND enabling studies Lead Optimization Phase 1b I nternal and partnered applications under consideration Lead Optimization IND enabling Ongoing strain selection for library expansion of additional products Discovery Continued development of strain library and proprietary Gemicel TM d elivery system provide potential to rapidly expand into other microbiome related conditions - Primary CDI - Additional infectious diseases - Inflammatory bowel disease (IBD) - Irritable b owel syndrome (IBS) - Metabolic disease - Other indications (CNS; cancer ) 20

 
 

Financial Summary 21 Strong Base of Biotech Investors Baker Brothers Nasdaq ASMB Cash, cash equivalents & marketable securities ~$97M as of September 30, 2015 Shares outstanding ~17.2M Fully diluted ~20.4M

 
 

Investment Summary  Experienced team with proven track record  HBV platform : D eveloping oral small molecules for HBV cure – L ead product anticipated to begin Phase 1 in 2H 2016 – O ther molecules to follow – Primary focus on modulating HBV Core Protein, provides an opportunity to: • Prevent new cccDNA formation • Inhibit function of existing proteins • Eliminate existing infected cells – Clinical strategy to pursue combination therapy early in development  Microbiome p latform : Developing drug - like oral biologic products – Lead product for recalcitrant CDI anticipated to begin Phase 1 b in 2H 2016 – Follow success of FMT to expand into other indications – Three differentiating elements to our MB program • Strain selection (vegetative and spore formers) • Process development and GMP manufacturing • Targeted drug delivery with Gemicel ™  Strong balance s heet with cash to inflection points 22 Strain Selection Development & Manufacturing Targeted Drug Delivery CURE Eliminate (or Silence) Existing cccDNA Inhibit HBV Proteins Prevent New cccDNA HBV Microbiome