HALF YEAR REPORT 2021 - Cosmo Pharmaceuticals

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HALF YEAR
                    REPORT
                    2021

Cosmo Pharmaceuticals           Half Year Report 2021
SAFE HARBOUR

This presentation may include forward-looking statements that are based on our management’s beliefs and assumptions and on
information currently available to our management.
The inclusion of forward-looking statements should not be regarded as a representation by Cosmo that any of its plans will be achieved.
Actual results may differ materially from those set forth in this presentation due to the risks and uncertainties inherent in Cosmo’s
ability to develop and expand its business, successfully complete development of its current product candidates and current and future
collaborations for the development and commercialization of its product candidates and reduce costs (including staff costs), the market
for drugs to treat IBD diseases, Cosmo’s anticipated future revenues, capital expenditures and financial resources and other similar
statements, may be “forward-looking” and as such involve risks and uncertainties and risks related to the collaboration between
Partners and Cosmo, including the potential for delays in the development programs for its products. No assurance can be given that
the results anticipated in such forward-looking statements will occur. Actual events or results may differ materially from Cosmo’s
expectations due to factors which include, but are not limited to, increased competition, Cosmo’s ability to finance expansion plans, the
results of Cosmo’s research and development activities, the success of Cosmo’s products, regulatory, legislative and judicial
developments or changes in market and/or overall economic conditions. Cosmo assumes no responsibility to update forward-looking
statements or to adapt them to future events or developments.

You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof, and Cosmo
undertakes no obligation to revise or update this presentation.

Cosmo Pharmaceuticals                                                2                                                      Half Year Report 2021
AGENDA

01 Introduction
        Alessandro Della Chà, CEO

02 H1 2021 Key Events & Products Update
        Alessandro Della Chà, CEO

03 H1 2021 Financial Review
        Niall Donnelly, CFO

04 2021 Key Priorities & Outlook
        Alessandro Della Chà, CEO

Cosmo Pharmaceuticals                     3   Half Year Report 2021
Introduction

Cosmo Pharmaceuticals        4         Half Year Report 2021
FINANCIAL HIGHLIGHTS

 Revenue                                                    Operating profit                  Cash, bonds and fund
 €28.4m                                                     €8k                               investments
 H1 2020: €25.9m                                            H1 2020: Operating Profit €2.7m
                                                                                              €203.1m
                                                                                              2020: €212.9m
 Manufacturing of own products and related services
                                                            Loss after tax
 €15.2m                                                                                       Equity stakes in other
                                                            €5.7m
 H1 2020: €12.6m
                                                            H1 2020: €3.0m                    companies
  Manufacturing of generic products and related services                                      €299.1m
 €5.8m                                                     Cash inflow from operating          2020: €339.2m
 H1 2020: €6.0m                                            activities                         Treasury shares and loans
 Royalties                                                 €12.7m                             €79.8m
 €2.4m                                                     H1 2020: €1.8m
                                                                                              2020: €72.5m
 H1 2020: €4.4m
                                                                                              Equity
  Licence fees, up-front fees and milestones

 €4.0m                                                                                        €371.0m
                                                                                              2020: €400.1m
 H1 2020: €2.2m

Cosmo Pharmaceuticals                                                                   5                       Half Year Report 2021
COSMO OVERVIEW

 Two marketed medtech      Three marketed       Market Cap1
 products                  therapeutics         CHF 1,282.7 million

 Eleview®                  Lialda® /Mezavant®   Net Cash1
 GI Genius™                Uceris®/Cortiment®   €203.1 million
                           Aemcolo®/RelaFalk®
                                                Equity stakes in other
 One approved              Rich development     companies1
 therapeutic               pipeline             €299.1 million

 Methylene Blue MMX®(EU)                        Treasury shares and loans1
                                                €79.8 million

                                                1   as at 30 June 2021

Cosmo Pharmaceuticals                   6                                Half Year Report 2021
Key Events & Update

Cosmo Pharmaceuticals            7            Half Year Report 2021
H1 2021 UPDATE - KEY EVENTS

• GI Genius™, the first device that uses artificial intelligence to assist clinicians in the detection lesions in the colon in
  real time during a colonoscopy, approved by the FDA

• Successful outcome of our phase II Proof of Concept (POC) clinical trial of Rifamycin-MMX 600mg in Irritable Bowel
  Syndrome with Diarrhea (IBS-D) announced

• EU rights (plus Switzerland, UK, EEA countries, Russia and Mexico) for Lumeblue ™ licenced to Alfasigma S.p.A.

• Cosmo’s associate, Cassiopea S.p.A., announced the signing of license and supply agreements with Sun
  Pharmaceutical Industries for Winlevi ® in US and Canada in July

• Agreement entered into with RedHill Biopharma Ltd. (Nasdaq: RDHL) to manufacture Movantik ®, RHB-204 and
  Opaganib

Cosmo Pharmaceuticals                                            8                                                   Half Year Report 2021
H1 2021 UPDATE
GI Genius™
• In April 2021 the FDA approved GI Genius™ for lesion detection during colonoscopy

• GI Genius™ uses artificial intelligence (AI) to assist clinicians in the detection lesions in the colon during a
  colonoscopy

• The device is the first of its kind to obtain the FDA approval through the De Novo application

• The FDA assessed the safety and effectiveness of GI Genius™ through a multicenter, prospective, randomized,
  controlled study in Italy with 700 subjects 40-80 years old who were undergoing a colonoscopy for colorectal cancer
  screening

• In the study, the adenoma detection rate was 55.1% in colonoscopy plus GI Genius™ compared to 42.0% with
  standard colonoscopy

Cosmo Pharmaceuticals                                            9                                                   Half Year Report 2021
H1 2021 UPDATE
GI Genius™
• We have delivered 261 devices for the US market to our partner Medtronic, sales are expected to commence in H2

• Europe, Australia, Israel and the United Arab Emirates regulatory approvals are also obtained so far

• Sales in Europe commenced at the end of 2019, but the pandemic continues to impact sales

Cosmo Pharmaceuticals                                        10                                          Half Year Report 2021
H1 2021 UPDATE
GI Genius™ Video Clips

Cosmo Pharmaceuticals    11   Half Year Report 2021
H1 2021 UPDATE
Cassiopea
• In July, our associate Cassiopea SpA (SIX: SKIN) announced it had signed license and supply agreements with Sun
   Pharmaceutical Industries for Winlevi® in US and Canada

•    Cassiopea will receive a $45 million upfront payment, high double-digit royalties and potential commercial
     milestones up to $190 million

•    Sun has committed to substantial promotional and marketing expenses according to an agreed commercialization
     plan

•    The license agreement will be effective once the parties have received HSR Antitrust Clearance, which is estimated
     to occur by mid-September

•    As a result of the agreements with Sun we estimate that Cosmo’s financial results will benefit significantly because
     of Cosmo’s share of the overall Cassiopea FY21 financial result

Cosmo Pharmaceuticals                                          12                                               Half Year Report 2021
H1 2021 UPDATE
Aemcolo™
• In January 2021, we announced the successful outcome of our Phase II Proof of Concept (POC) clinical trial of
  Rifamycin-MMX 600mg in Irritable Bowel Syndrome with Diarrhea (IBS-D)

• Together with our licensees, we will immediately commence discussions with the U.S. and EU regulatory agencies
  with a view to starting the Phase III clinical studies required for marketing authorisation as soon as possible

• We have progressed the IBS-D phase II clinical program and two Investigator Initiated Studies have commenced in
  the U.S. for the treatment of Minimal Hepatic Encephalopathy and Small Intestine Bacterial Overgrowth (SIBO),
  while the trial on Uncomplicated Acute Diverticulitis has yet to start

• As a consequence of travel restrictions and bans which have been put in place by most countries following the
  outbreak of the pandemic, Aemcolo™ sales continue to be adversely affected in 2021.

Cosmo Pharmaceuticals                                       13                                              Half Year Report 2021
H1 2021 UPDATE
Methylene Blue MMX®
• In February 2021, we licensed the EU rights (plus Switzerland, UK, EEA countries, Russia and Mexico) for
  Lumeblue™ to Alfasigma SpA. We are expecting EU launch in Q1 2022.

• Our partner CMS for China is progressing with regulatory activities

• We have progressed our discussions with the FDA to prepare for the requested second phase III trial. Subject to
  reaching agreement with the FDA on the final protocol, we hope to commence the trial during 2021, pandemic
  permitting

Cosmo Pharmaceuticals                                       14                                               Half Year Report 2021
H1 2021 Financial Review

Cosmo Pharmaceuticals              15              Half Year Report 2021
H1 2021 FINANCIAL HIGHLIGHTS
• Revenue €28.4m vs €25.9m last year

• Net expenses increased by €5.2m to €28.4m because H1 2020 included a gain of €5.3m on the sub-licencing of
  BYFAVO™ and a break fee associated with a debt equity swap with Acacia, excluding this gain net expenses are in line
  with last year

• Operating profit of €8k vs operating profit of €2.7m last year

• Cashflows from operating activities €12.7m (H1 2020: €1.8m)

• Net financial expenses of €1.9m vs net financial expenses of €5.8m last year
   •    Includes imputed convertible bond interest €4.3m (€2.2m paid)

• Loss after taxes for the period €5.7m (H1 2020: €3.0m) including share of Cassiopea loss €2.8m (H1 2020: €2.2m)

Cosmo Pharmaceuticals                                              16                                      Half Year Report 2021
INCOME STATEMENT - REVENUE
• Revenue €28.4m vs €25.9m last year
         •      Lialda/Mesavant/Measvancol revenue increased by €0.06 million to €11.8m
         •      Uceris income was €1.8m (H1 2020: €2.5m), net sales by Bausch were US$13.6m (H1 2020:
                US$16.3m)
         •      Cortiment income was €1.0m (H1 2020: €2.3m) net sales by Ferring were €9.8m (H1 2020: €8.9m)
                                                                                                                                                     Other revenues from sales, 4%
         •      GI Genius™ revenue was €2.1 (H1 2020: €0.1)                                                                Royalties , 9%
         •      Upfront fees and milestones represents the upfront payment of License fees of €4.0m in relation
                to licensing out the EU rights (plus Switzerland, UK, EEA countries, Russia and Mexico) for
                Lumeblue™ (Methelene Blue MMX) to Alfasigma S.p.A. Lumeblue™.
                                                                                                                                                  Manufacturing generic
    16                                15                                                                                                         products, speciality drugs
                                                                                                       H1 2021
                                                                                                                                                 and related services, 22%
    14                                                                                                 H1 2020
                                           13                                                                    Licence fees , Up-
                                                                                                                    front fees &
    12
                                                                                                                  milestones, 14%
    10

     8
                   6    6
     6
                                                                                4
                                                           4                                                                      Manufacturing of own Products
     4
                                                                2           2                                                       and related services, 52%
     2                                                                                    1    1
    -
                Manufacturing     Manufacturing of   Licence fees , Up-   Royalties   Other revenues
              generic products, own Products and        front fees &                    from sales
             speciality drugs and related services       milestones
               related services
Cosmo Pharmaceuticals                                                                     17                                                              Half Year Report 2021
INCOME STATEMENT
EUR million                       H1 2021    H1 2020    Change
Revenue                              28.4       25.9          2.5    • Revenue €28.4m vs €25.9m last year
Other income                          0.2        5.5         (5.3)
                                                                     • Expenses increased by €5.2m to €28.4m mainly as
Cost of sales                       (13.8)     (12.8)        (1.0)     a result of gain booked in H1 2020 on the sub-
Research and development             (7.4)      (7.3)        (0.1)     licencing of BYFAVO™
S,G&A                                (7.4)      (8.6)         1.2
                                                                     • Operating profit €8k vs operating profit €2.7m last
Net operating expenses              (28.4)     (23.2)        (5.2)     year
Operating profit / (loss)           0.008        2.7         (2.7)
Net financial expense                (1.9)      (5.8)         3.9    • Net financial expenses €1.9m vs €5.8m last year
Share of result of associates        (2.8)      (2.2)        (0.6)     •   Imputed convertible bond interest €4.3m (€2.2m paid),
                                                                           net FX gain €0.9m (H1 2020: net FX loss €0.04m) and
Loss before taxes                    (4.7)      (5.3)         0.6          net interest received €1.5m (H1 2020: €0.7m)
Income tax expenses                  (1.1)       2.3         (3.4)
                                                                     • Loss after taxes for the period €5.7m (H1 2020:
Loss after taxes for the period      (5.8)      (3.0)        (2.7)     €3.0m) including share of Cassiopea loss €2.8m (H1
                                                                       2020: €2.2m)

Cosmo Pharmaceuticals                                   18                                                        Half Year Report 2021
STATEMENT OF FINANCIAL POSITION - SUMMARY
 EUR million                                                 H1 2021         2020      Change
 Cash and cash equivalents and investments in funds               203.1     212.9        (9.8)
 Other current & non-current assets                               359.6     383.2       (23.6)
 Liabilities                                                  (191.7)      (196.0)         4.2
 Total Equity                                                     371.0     400.1       (29.2)

 • Cash and investments in funds €203.1m

 • Other current & non-current assets include shareholdings in Acacia Pharma, PAION AG and RedHill, and other
   companies €91.7m, investment in Cassiopea carried at €133.4m, intangible assets of €26.9m, property plant and
   equipment of €29.1m and trade and other receivables of €55.2m

 • Liabilities mainly consist of the liability component of the convertible bonds of €164.3m, deferred tax liabilities of
   €5.8m, lease liabilities of €2.9m, contingent consideration of €3.2m, trade payables of €7.1m and accruals of €2.8m

Cosmo Pharmaceuticals                                        19                                                Half Year Report 2021
STATEMENT OF FINANCIAL POSITION - SUMMARY

                  Total Assets   Total liabilities    Equity
                   €562.8m         €191.8m           €371.0m

Cosmo Pharmaceuticals                     20                   Half Year Report 2021
CASHFLOW
EUR million                                                                       H1 2021
Cashflow from operating activities                                                   12.7
Disposal of investments                                                               3.1
Payment of contingent consideration related to Linkverse acquisition in 2018/19      (2.6)
Purchase of treasury shares                                                          (8.0)
Convertible bond interest                                                            (2.2)
Capital expenditure                                                                  (1.9)
Loan to Cassiopea                                                                    (6.0)
Capitalised development expenditure                                                  (1.6)
Lease repayments                                                                     (2.2)
Tax paid                                                                             (3.0)
Other cashflows                                                                       2.0
Net cashflow                                                                         (9.7)

Opening cash and investment in funds                                                212.9
Net cashflow                                                                         (9.7)
Closing cash and investment in funds                                                203.1

Cosmo Pharmaceuticals                                                       21               Half Year Report 2021
2021 Key Priorities & Outlook

Cosmo Pharmaceuticals                 22                Half Year Report 2021
KEY PRIORITIES FOR 2021 AND BEYOND
• Ensure that GI Genius™ performs in the US market by providing Medtronic with all the necessary supply and support

• Replenish our pipeline

• Progress the development of Aemcolo™ in IBS-D

• Commence the Methylene Blue MMX confirmatory phase III trial required for US approval

Cosmo Pharmaceuticals                                     23                                            Half Year Report 2021
2021 GUIDANCE
• Guidance is maintained following FDA approval for GI Genius™ and assumes an increase in costs associated with the
  deployment of GI Genius machines to Medtronic and into the market

               - Revenue in the range of €60m - €64m
               - Operating profit in the range of €3m - €5m

• In addition to the operating profit above, the agreement reached between Sun and Cassiopea in relation to Winlevi®,
  which will close upon the expiration of the HSR waiting period, will result in Cassiopea delivering a profit in FY21.
  Cosmo’s financial results will benefit in line with our stake in Cassiopea

• We are therefore expecting Cosmo to deliver a profit before tax in FY21 in the range of €4m to €6m

Cosmo Pharmaceuticals                                         24                                            Half Year Report 2021
Thank You

Cosmo Pharmaceuticals       25      Half Year Report 2021
Cosmo Pharmaceuticals NV
Riverside II
Sir John Rogerson’s Quay
Dublin 2, Ireland
media@cosmopharma.com

Mr. Alessandro Della Cha, CEO
adellacha@cosmopharma.com

Mr. Niall Donnelly, CFO
ndonnelly@cosmopharma.com

Cosmo Pharmaceuticals           26   Half Year Report 2021
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