2019 Interim Results Delivering insights in neuroscience - 22 May 2019 - IXICO
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Delivering insights in neuroscience 2019 Interim Results 22 May 2019 BUSINESS USE ONLY © IXICO plc 2019 0
Disclaimer ▪ NOT FOR DISTRIBUTION OR RELEASE, DIRECTLY OR INDIRECTLY, IN OR INTO THE UNITED STATES OR ANY OTHER JURISDICTION IN WHICH THE DISTRIBUTION OR RELEASE WOULD BE UNLAWFUL. ▪ The information contained in these slides and the presentation is strictly confidential, and is supplied on the understanding that it will be held in confidence, and not copied, reproduced, distributed, published or disclosed to third parties without the prior written consent of IXICO PLC (“IXICO”, which term any and all of its wholly -owned subsidiaries). The recipient agrees that on request from IXICO it will return or destroy all copies of these slides. ▪ These slides and the presentation have been prepared for information purposes only and for no other purpose. The slides and t he presentation do not constitute or form part of a prospectus relating to IXICO nor do they constitute or contain any offer or invitation to purchase, sell or subscribe for, or any solicitation of any such offer to purchase, sell o r subscribe for, any securities in IXICO nor shall the slides or presentation or any part of it, or the fact of its distribution, form the basis of, or be relied on in connection with, any contract or commitment. ▪ No reliance may be placed, for any purposes whatsoever, on the information contained in these slides or the presentation or o n its completeness and these slides or the presentation should not be considered a recommendation by IXICO, Cenkos Securities (“Cenkos") or any of their respective affiliates in relation to any purchase of or subscription for securities of IXICO. No represent ation or warranty, express or implied, is given by or on behalf of IXICO, Cenkos or any of their respective directors, partners, officers, employees, advisers or any other persons as to the accuracy, fairness or sufficiency of the information or opinions contained in these slides or the presentation and none of the information contained in these slides or the presentation has been independently verified by Cenkos or any other person. Save in the case of fraud, no liability is accepted for any errors, omissions or inaccuracies in such in formation or opinions. Neither IXICO nor Cenkos or are under any obligation to update or amend the information contained in these slides as circumstances change. ▪ The slides and the presentation have not been approved by a person authorised under the Financial Services and Markets Act 20 00 ("FSMA") for the purposes of section 21 FSMA. 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These materials do not constitute an offer to sell, or a solicitation of an offer to buy, sec urities in the United States. Securities may not be offered or sold in the United States absent ( i) registration under the Securities Act or (ii) an available exemption from registration under the Securities Act. The securities mentioned herein have not been, and will not be, registered under the Securities Act and will not be offered to the public in the United States. ▪ Neither these slides nor the presentation nor any copy of either may be ( i) taken or transmitted into or distributed in Canada, Australia, the Republic of Ireland or the Republic of South Africa or t o any resident thereof, or (ii) taken or transmitted into or distributed in Japan or to any resident thereof. Any failure to comply with these restrictions may consti tute a violation of the securities laws or the laws of any such jurisdiction. ▪ IXICO is at a relatively early stage and, in common with many other companies in the healthcare and technology sectors, its d evelopment may be subject to a number of major uncertainties, including the availability of funding and its ability to enter into partnerships with other companies. Although IXICO is active in establishing a strong intellectual prope rty base, technology is an area where patent positions and disputes can materially affect individual companies. ▪ Forward looking statements – Statements other than those of historical results and events may constitute forward -looking statements. Certain statements including management’s strategic vision, aims and objectives, the conduct of research and development work, trials and the expected timing of registration, regulatory approval or launch of products, the expected market for products, the effect of competition, the overall market and exchange rates are forward looking in nature. By their nature, such statements involve risks and uncertainties that could cause the actual outcome to di ffer substantially from management's view. ▪ All logos, graphics and trademarks contained in these slides are recognised and remain the property of the respective organis ation. IXICO’s word mark is a trademark of IXICO , where the term trademark means the word or mark however represented, including stylised representations, all associated logos and symbols and combinations of the foregoing w ith another word or mark. ▪ Cenkos is authorised and regulated by the Financial Conduct Authority and is acting only for IXICO in connection with this presentat ion and is not acting for or advising any other person, or treating any other person as its client, in relation thereto and will not be responsible for providing the regulatory protection afforded to clients of Cenkos or advice to any other person in relation to the proposals. ▪ IXICO PLC is incorporated in England with registered number 3131723 and registered address 15 Long Lane, London, EC1A 9PN. BUSINESS USE ONLY © IXICO plc 2019 1
Delivering insights in neuroscience Delivering on our strategic goals Giulio Cerroni, CEO BUSINESS USE ONLY © IXICO plc 2019 2
Next generation biomarker services for neuroscience drug development ▪ Collecting and extracting data from brain scans to detect and measure imaging biomarkers ▪ Applying our data analytics expertise to develop and validate complementary digital biomarkers ▪ Accurate biomarker assessment can reduce the risk associated with clinical research studies by e.g. MRI - Huntington’s disease supporting: ▪ identification of patients who are more likely to respond ▪ early detection of drug safety issues ▪ objective assessment of drug efficacy Tissue loss Δvol over 6 months = 0.8% BUSINESS USE ONLY © IXICO plc 2019 3
Next generation biomarker services for neuroscience drug development Medial Temporal Lobe Striatum Cerebellum Brainstem SPINO- PROGRESSIVE ALZHEIMER’S HUNTINGTON’S CEREBELLAR DISEASE SUPRANUCLEAR DISEASE ATAXIA (HD) PALSY (AD) (SCA) (PSP) BUSINESS USE ONLY © IXICO plc 2019 4
5 point growth strategy ① Focus on delivering scale and operational excellence ② Accelerate penetration of clinical trials market; diversify into new indications ③ Target early phase to grow into later clinical phases ④ Innovate: AI machine-learning data analytics ⑤ Enhance organic growth through selective M&A ….to deliver sustained double-digit revenue growth, targeting profitability BUSINESS USE ONLY © IXICO plc 2019 5
Strengthened leadership Giulio Cerroni (Feb ‘17) Alison Howie (Jun ‘18) Grant Nash (April ‘19) Marcus Thornton (Jun ‘18) CEO CCO CFO COO Robin Wolz (Mar ‘14) Amanda Wooding (Jul ‘18) John Hall (May ‘08) John Green (Jun ‘18) SVP Research & Development HR Director SVP Corporate Development SVP Quality, Compliance & Regulatory Affairs BUSINESS USE ONLY © IXICO plc 2019 6
Delivering insights in neuroscience Commercial traction in an attractive growth market Alison Howie, CCO BUSINESS USE ONLY © IXICO plc 2019 7
Our AI data analytics accelerate biopharma innovation & enable productivity Eligibility / Stratification Safety - Side effects Efficacy PET - Alzheimer’s disease MRI - Immunotherapy MRI - Huntington’s disease Accurately measure the absence/presence of Detect adverse drug reactions Accurately measure biomarkers that track disease biomarkers (Amyloid) to ensure the (bleeds/fluid accumulation) early – disease progression providing evidence of right patients are enrolled in clinical trails preventing serious harm to patients treatment response and disease modification Tissue loss Δvol over 6 months = 0.8% Healthy Healthy Alzheimer’s Amyloid -ve Amyloid +ve Amyloid +ve Baseline Week 19 BUSINESS USE ONLY © IXICO plc 2019 8
Four pillars of strength for accelerated growth Launching innovative Leveraging our Building scale in Continuously enhancing new products expertise into new high growth our client value indications markets proposition Algorithms to Unrivalled domain Established A decade of delivery measure disease knowledge operational reach biomarkers Validated IXICO AI Understand the value of Network of sites trained Proven, trusted partner technology to measure different disease and qualified by IXICO to with robust and regulatory specific biomarkers in biomarkers is specific ensure they can collect compliant operations. therapeutic areas being therapeutic areas data (which is not standard All phases of clinical trials targeted by biopharma Understand the challenges of care) to the high level of of deploying different quality required for Springboard for new client biomarkers in specific Automated AI analytics acquisition populations tools. BUSINESS USE ONLY © IXICO plc 2019 9
Market drivers - innovation with clients, collaborations and partners Investment New Patient Ageing Earlier in rare therapeutic reported population intervention diseases approaches outcomes New and better biomarkers Translational science Partnering with Academia First Mover Advantage in Major Government via Public-Private Funded AI Initiatives AI-Driven Partnerships Data ▪ Access to well-characterised clinical data Analytics ▪ Diversification into new indications ▪ In-licencing opportunities ▪ Development and validation of IXICO algorithms ▪ Access to clinical and technical expertise ▪ Build track record and expertise BUSINESS USE ONLY © IXICO plc 2019 10
Long term client relationships; good revenue visibility ▪ Generating high quality earnings growth from repeat Reported revenue growth (£m) business • Expanding scope 3.4 • Multiple projects 2.3 2.8 22% ▪ Reaching new biotechs to expand franchise to new therapeutic areas 1.5 ▪ H1-18 +25% ▪ Working with earlier-stage assets creates long term ▪ H1-17 +51% opportunities H1-16 H1-17 H1-18 H1-19 Comparatives reflect adoption of IFRS15 Wearable New PSP 2 study Scope biosensors Imaging expansions in expansion Phase III New contract New HD £0.5M $2.7M AD +24% £0.6M Study £9.1M in HD £0.5M study £2.3M £12.7M £21.1M Order Order Book Book Sept 17 Sept 18 Sept 17 Mar 19 Wearable Scope New HD Scope Scope New biosensors expansion Study £1M expansion expansion Therapeutic £0.75M £0.75M €0.5M $2.4M Area study BUSINESS USE ONLY © IXICO plc 2019 start up 11
Winning in current markets + reaching into new markets • Exploratory outcome • 2° & 1° • Patient outcomes in • Supporting measures outcomes the real world therapeutic decisions • Translational science measures Phase I, II & III (sub-study) PhII & III Phase IV On Market Digital and imaging Digital biomarkers biomarkers to monitor Imaging services de-risking outcomes: better providing objective disease progression insights to changes to brain structure and function measures of patient and therapeutic outcomes response £150 - £500k £1m - £10m £200k - £2m £££ Typical Value Per Study Recurring revenue Current Markets New Markets BUSINESS USE ONLY © IXICO plc 2019 12
Delivering insights in neuroscience Financial Review Grant Nash, CFO BUSINESS USE ONLY © IXICO plc 2019 13
H1 2019: Revenue, Gross Margin & EBITDA Reported revenue growth (£m) Gross Margin (%) 66 61 22% 60 +610bps 3.4 2.8 47 2.3 ▪ H1-18 +25% ▪ Operating leverage & product mix 1.5 ▪ H1-17 +51% Comparatives reflect adoption of IFRS15 H1-16 H1-17 H1-18 H1-19 H1-16 H1-17 H1-18 H1-19 EBITDA (£m) Income per head (£k) H1-16 H1-17 H1-18 H1-19 0.1 Break-even 113 Efficiency gains 95 ▪ Progressive growth towards ▪ Productivity continues to increase 78 profitability. -0.1 55 ▪ Investments in H2 will increase -0.4 expenditure. Average headcount in period at bottom of bar chart ▪ H1-18 excludes £0.3m May 2018 69 61 63 66 placing costs. -1.1 FY16 FY17 FY18 H1-19 BUSINESS USE ONLY © IXICO plc 2019 14
H1 2019: Order Book & Cash Order book growth (£m) H1 2019 order book analysis (£m) ▪ Roche PIII contract £0.9m 19.3 21.2 £21.2m paid in FY-18 with services provided across FY-19 5.2 3.3 ▪ £5.2m contracts won in H1-19 ▪ Sep-18 order book increase 12.7 included £9.1m PIII contract ▪ Revenue excludes £0.1m fx 9.9 19.3 19.3 21.2 21.2 ▪ 10% growth in order book in H1-19 Confidential, IXICO plc 2019 Opening New Revenue Closing Sep-16 Sep-17 Sep-18 Mar-19 Wins (ex fx) Operating cashflows (£m) Cash position (£m) FY16 FY17 FY18 H1-19 £0.2m 7.5 £4.8m -0.1 -0.3 ▪ Phasing of customer payments ▪ Oversubscribed £5.5m in May negatively impact H1-19 2018 (net £5.2m) 3.2 cashflows. 2.8 2.7 -1.2 -2.0 H1-16 H1-17 H1-18 H1-19 BUSINESS USE ONLY © IXICO plc 2019 15
H1 2019: Working Capital and Investment Working Capital Growth (£m) Capital Investment (£k) 7.2 7.4 £7.4m 102 Accelerate investment 75 ▪ Cash balance underpins ▪ Number of years of low capital 3.3 strengthened WC position. 49 investment. 2.5 ▪ Strong position from which to drive ▪ Investment to redress balance. growth 24 ▪ Investment to underpin and accelerate growth. FY16 FY17 FY18 H1-19 FY16 FY17 FY18 H1-19 R&D Investment (£k) S&M Investment (£k) 400 406 776 697 582 21% 335 322 26% 458 ▪ Refocus of R&D resources on ▪ Investing in S&M team 380 370 driving commercial growth. ▪ Investing in Marketing initiatives 232 227 ▪ Refocus and expand R&D ▪ Investing in PR investments to strategic priorities. 69 61 63 66 Grant income – function of R&D spend H1-16 H1-17 H1-18 H1-19 H1-16 H1-17 H1-18 H1-19 BUSINESS USE ONLY © IXICO plc 2019 16
H1-19 Summary Income Statement: Revenue growth, margin accretion and breakeven Income Statement H1-19 H1-18* H1-17* FY-18 FY-17* Revenue growth (unaudited) (unaudited) (unaudited) (audited) (audited) • Broadening range of neurological disease areas £’000 £’000 £’000 £’000 £’000 • Across all phases of clinical development Revenues 3,426 2,817 2,255 5,394 4,100 • With leading biopharmaceutical companies YoY% Growth 22% 25% 51% 32% 34% Gross Profit 2,271 1,697 1,375 3,173 2,314 Strengthening gross margin Gross Margin % 66% 60% 61% 59% 56% • Operational leverage & service mix Other Income 303 300 441 562 643 OPEX R&D 458 582 697 1,033 1,256 • Increased Opex - investment in building scale & S&M 406 322 335 754 823 capabilities to drive growth G&A 1,574 1,201 1,037 2,593 2,117 Non-recurring - 332 112 - 165 Overview Total Opex (ex Depreciation) 2,438 2,437 2,181 4,380 4,361 • Strong position from which to deliver FY-19 market expectations EBIDTA 136 (440) (365) (645) (1,404) Operating Profit/(Loss) 105 (513) (791) (797) (1,912) Net Profit/(Loss) 215 (419) (681) (668) (1,537) *Figures adjusted to reflect adoption of IFRS 15 BUSINESS USE ONLY © IXICO plc 2019 17
H1-19 Summary Cashflow: Capitalised to fund growth Cashflow H1-19 H1-18* H1-17* FY-18 FY-17* Closing cash (unaudited) (unaudited) (unaudited) (audited) (audited) • £7.5m, increase on H1-18 due to £5.5m £’000 £’000 £’000 £’000 £’000 gross placing in May 2018 Cashflow from operating (305) 331 (281) 363 (644) activities Operating cash flows Cashflow from investing (103) (47) (14) (79) (49) • £0.3m outflows H1-19 vs £0.3m inflows H1- activities 18m - due to phasing of project advance payments in FY18 Cashflow from financing - - - 5,164 - activities Investing cash flows Movement in cash and (408) 284 (295) 5,448 (693) • Initiating investment in building scale & cash equivalents capabilities to drive growth & address prior Opening cash and cash 7,861 2,414 3,120 2,414 3,120 years’ under-investment equivalents Effect of exchange rate - 1 (25) (1) (13) fluctuations Closing cash and cash 7,453 2,699 2,800 7,861 2,414 equivalents *Figures adjusted to reflect adoption of IFRS 15 BUSINESS USE ONLY © IXICO plc 2019 18
Delivering insights in neuroscience Operational scale for success Marcus Thornton, COO BUSINESS USE ONLY © IXICO plc 2019 19
Investing to scale CLINICAL TRIALS Imaging Site Selection and qualification Fast and selective enrolment drives down study duration and cost IMAGING Safety Monitoring IMAGE DATA DATA PLATFORM AI LAYER WEARABLES IN CLINICAL TRIALS Patient selection and stratification DATA LAKE Objective biomarkers & endpoints Real world data sources BIOSENSOR DATA BIOSENSOR DATA PUBLISHING PLATFORM LAYER POST MARKETING Early and accurate diagnosis Therapeutic recommendations tailored to the 3 RD PARTY individual DATA SETS Early identification and monitoring of side effects and disease progression BUSINESS USE ONLY © IXICO plc 2019 20
Focus on delivering process improvement and scale efficiencies Gross Margin (%) 66 Key programmes delivering efficiencies: 61 60 +610bps • Site qualification 47 • Site management system ▪ Operating leverage & • New reporting platform product mix Impact: H1-16 H1-17 H1-18 H1-19 • Speed and quality of site start-up • Efficiency improvements Income per head (£k) • Enhanced responsiveness to stakeholders Efficiency gains 113 • Build knowledge base 95 ▪ Productivity continues • Enhance trusted partner and supplier relationships 78 to increase 55 Average headcount in 69 61 63 66 period at bottom of bar chart FY16 FY17 FY18 H1-19 BUSINESS USE ONLY © IXICO plc 2019 21
Delivering insights in neuroscience Summary & Outlook Giulio Cerroni, CEO BUSINESS USE ONLY © IXICO plc 2019 22
Delivering on our financial commitments ▪ Fifth consecutive reporting period reporting +20% revenue growth ▪ Expanding franchise with blue-chip biopharma client base, driving quality earnings ▪ Visibility to future revenues from large contracted order book & strong pipeline ▪ Delivering operational gearing and executing operational efficiencies ▪ Break-even & debt free; continued progress on path to profitability Inflection point in the transformation of the business BUSINESS USE ONLY © IXICO plc 2019 23
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