Title: Advancing
1Advancing oral treatments for bone joint
diseases especially for osteoporosis and arthritis
Paul Hopper Executive Chairman February 2006
2Safe Harbor Statement
This presentation contains forward-looking
statements that involve risks and uncertainties.
These forward-looking statements are not
guarantees of Bone Medical Limiteds future
performance and involve a number of risks and
uncertainties that may cause actual results to
differ materially from the results discussed in
these statements. Factors that might cause the
Companys results to differ materially from those
expressed or implied by such forward-looking
statements include but are not limited to,
development and commercialisation of the
Companys product portfolio development or
acquisition of additional products and other
risks and uncertainties. Bone Medical Limited
undertakes no duty to update any of these
forward-looking statements to confirm them to
actual results.
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3Corporate Overview
- Founded December 2002
- Novel, proprietary oral drug delivery technology
for musculoskeletal disease - Phase I/IIa clinical trial for oral calcitonin-
Capsitonin?- completed - Phase I clinical study for oral parathyroid
hormone- Perthoxal? completed - Listed Public August 2004
- Ticker (ASXBNE) (ADRBMEDY.PK)
- Office Bentley, WA, Australia 6102
- Shares Outstanding 64,291,032 (Ordinary)
9,999,204 (Preferred C) - Market Cap (13-2-06) AU19.3 million (US15.2
million) - Over AU5.1MM spent to date developing two core
compounds - Approximately AU1.4 million cash on-hand
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4Investment Highlights
- Capsitonin? Phase I/IIa clinical trial for
osteoporosis completed - Capsitonin? Pre-IND meeting held with FDA in
December 2005 - Rapid regulatory process / strategy for
Capsitonin?- bioequivalence 505(b)(2) NDA
submission - Perthoxal?- oral parathyroid hormone for
osteoporosis Phase I clinical study completed - New, unique oral formulation technology with
robust IP and long patent life - Multi-billion dollar market opportunity(s) for
both Capsitonin? and Perthoxal? - Balanced portfolio between lower-risk drug
delivery programs and potential breakthrough
future treatments - Experienced management with experience in
science, management and capital markets
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5Market Opportunity
- Osteoporosis
- Approximately 200 million women worldwide
- Incidence is expected to double in the next 50
years - Estimated US48.0 million spent to treat disease
in North America and in Europe - Osteoarthritis
- Over 20 million people in the U.S. alone
- Most common form of arthritis, approximately
5-10 of population will develop - Treatments
- Calcitonin (sCT) US600 million
- Injectable and Nasal forms only (no oral form
available) - Parathyroid Hormone (PTH) US450 million
- Injectable form only (no oral from available)
Sources International Osteoporosis Foundation,
CDC, Mayo Clinic, NIAMS, National Center for
Chronic Disease Prevention and Health Promotion
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6Market Need
- Osteoporosis
- Painful and debilitating
- Worldwide cost burden to reach US131.5 billion
by 2050 - Only 1 in 2 vertebral fractures diagnosed by a
physician - Less than 20 of Osteoporosis patients receive
timely treatment - Osteoarthritis (and rheumatoid arthritis)
- Painful, physically and emotionally debilitating
- 25 of persons cannot perform major daily
activities (e.g., lifting, climbing stairs)
There are no oral formulations available for
calcitonin or parathyroid hormone limiting the
number of treated patients
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7Product Pipeline
RD
Pre-clinical
Phase I
Phase II
Phase III
NDA
Products / Compounds
Capsitonin? (oral sCT) Therapeutic peptide 1
Osteoporosis, 2Osteoarthritis
Perthoxal? (oral PTH) Therapeutic
peptide Osteoporosis
BN007 (collagen tolerance) Oral Immune
therapy Rheumatoid Arthritis
BN006 (TNF down-regulator) BN008 (Osteoclast
down-reg) BN005 (Osteoblast up-reg)
Novel therapeutic entities Rheumatoid Arthritis,
Osteoarthritis
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8Lead Compound
Calcitonin has been used Safely as a
treatment for osteoporosis for over 30 years!
- Mechanism of Action
- Calcitonin aids in the formation of new bone by
interfering with osteoclast activity. - Use/Indication
- Osteoporosis, Osteoarthritis
- Side Effects
- Mild, some joint ache, headache
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9Novel Oral Formulation
New, proprietary oral drug delivery technology
- Recombinant peptides (Capsitonin? and Perthoxal?)
are protected from gastric degradation - Released in the upper intestine in an area with
high peptide absorption - Utilizes existing approved substances and/or
excipients - Opportunity for rapid 505(b)(2) FDA submission
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10Capsitonin? Oral Capsule
- Background
- Existing injectable and nasal formulations of
calcitonin are difficult to administer affecting
patient compliance and limiting its use as a
treatment option - To date, an oral formulation of calcitonin has
been unable to be developed - Capsitonin?
- Pre-clinical / Proof-of-concept
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11Capsitonin? - Phase I/IIa
- Study Objective
- Phase I/IIa open label safety tolerability and
preliminary efficacy / activity - Study Design
- 12 post-menopausal, female volunteers
- Sequential, cross-over design
- Positive control (Miacalcin? Nasal) active
comparator - 1250iu Capsitonin?
- 2500iu Capsitonin?
- Measurement of key biomarkers serum calcitonin,
serum CTX, and blood calcium
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12Capsitonin? - Phase I/IIa
- Study Results / Outcomes
- The study showed that Capsitonin? can be
delivered orally and exert a statistically
significant biological effect - Measurement of markers of bone breakdown in the
blood showed that Capsitonin? reduced bone
destruction - Calcitonin (in a small number of patients) was
measured in blood - Calcium levels in the blood were also reduced as
expected - Safe and well tolerated
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13Lead Compound
The bone forming effects of parathyroid hormone
have been known for 70 years!
- Mechanism of Action
- A controlling agent for maintaining normal
calcium levels in the blood for strong bone
formation of new bone. - Use/Indication
- Osteoporosis
- Side Effects
- Some leg cramps, mild headache
CONFIDENTIAL
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14Perthoxal? Oral Capsule
- Background
- Existing injectable and nasal formulations of
parathyroid hormone (PTH) are difficult to
administer affecting patient compliance and
limiting its use as a treatment option - To date, an oral formulation of PTH has been
unable to be developed - Perthoxal?
- Pre-clinical / Proof-of-concept
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15Perthoxal? - Phase I
- Study Objective
- Phase I open label safety tolerability study
and preliminary pharmacodynamic effects - Study Design
- 18 post-menopausal, female volunteers
- Sequential, cross-over design (12 of 18 patients
only) of two different formulations of Perthoxal? - Positive control (s.c. injected PTH) active
comparator - Formulation (1) 450ug Perthoxal?
- Formulation (2) 400ug Perthoxal?
- Measurement of key biomarker serum calcium
concentration
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16Perthoxal? - Phase I
- Study Results / Outcomes
- The study showed that Perthoxal? was able to be
delivered safely and that measurable amounts of
calcium were able to be detected in serum - One Perthoxal? formulation showed levels of
measurable calcium - Both Perthoxal? formulations were shown to be
safe and well tolerated
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17Competition
- Calcitonin
- Nasal Spray (commercially available)
- Miacalcin Nasal (Novartis), Fortical? Nasal
(Unigene Laboratories), Calcitonin-Salmon Nasal
Spray (Nastech) - Injectable (commercially available)
- Forcaltonin (Unigene Laboratories)
- Oral
- Emisphere Technologies (w/Novartis), Unigene
Laboratories
Nasal Spray
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18Competition
- Parathyroid Hormone
- Injectable (commercially available)
- Forteo? (Lilly)
- Nasal Spray
- Nastech Pharmaceuticals
- Oral
- Zelos Therapeutics, Emisphere Technologies
(w/Novartis), Unigene Laboratories (w/GSK)
Injectable pen device
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19Intellectual Property
- Bone Medical has been granted exclusive worldwide
rights to oral drug delivery technology in the
field of musculoskeletal disease under three
patent pending applications for each product - the use of aromatic alcohols to enhance the
uptake of peptides across the small intestine - pharmaceutical compositions containing certain
proportions of aromatic alcohols and - methods of solubilisation.
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20Key Management
Corporate SecretaryGabriel Chiappini
Board of Directors
Capitalization, governance, BD Innovate Oncology,
Evolve Oncology,
RD, formulation, development Proxima
RD, development, regulatory Covance, Parke-Davis
Operations, commercialization, BD,
development Mitos Pharmaceuticals, Pfizer, Roche
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21Business Strategy
- Minimal infrastructure cost and savings
- Corporate / management focus
- Rapidity to market and market up-take
- Minimize infrastructure build capital needs
- Broaden drug pipeline and product offerings
- Increase revenues and corporate growth
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22Value Proposition
- Two products in clinical trials
- Capsitonin? - Oral calcitonin for osteoporosis
and osteoarthritis - Perthoxal? - Oral parathyroid hormone for
osteoporosis - Rapid regulatory process potential
bioequivalence and/or 505(b)(2) FDA
submissions - Multi-billion dollar market opportunity(s)
- New, unique oral formulation technology with
robust IP and long patent life - Balanced portfolio between lower-risk drug
delivery programs and potential breakthrough
future treatments - Experienced management
? 2006 Bone Medical Ltd.
CONFIDENTIAL
23Contact
- Paul Hopper
- Executive Chairman
- Tel 1 858 200-5636 (San Diego, CA)
- Hopper_at_bone-ltd.com
- Patrick J. Mallon
- VP Commercial Operations
- Tel 1 858 205-2501 (San Diego, CA)
- pmallon_at_bone-ltd.com
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24Contact
- Leon Ivory
- Director
- Tel 61 8 9355 5123 (Western Australia)
- leonivory_at_bone-ltd.com
- Ed Daquino
- Chief Financial Officer
- Tel 61 8 9355 5123 (Western Australia)
- eddaquino_at_bone-ltd.com
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