KOL$event$ Building$a$successful$biosimilar$company - February 2019 - XBrane

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KOL$event$ Building$a$successful$biosimilar$company - February 2019 - XBrane
KOL$event$
Building$a$successful$biosimilar$company

February 2019
KOL$event$ Building$a$successful$biosimilar$company - February 2019 - XBrane
INTRODUCTION
               Laszlo'Bekesi   Manfred'Weiler
KOL$event$ Building$a$successful$biosimilar$company - February 2019 - XBrane
AGENDA

    • 10:00*+ 10:10*Introduction*(Anders*Tullgren)

    • 10:10*– 10:35*Building*a*successful*biosimilar*company*(Manfred*Weiler)

    • 10:35*– 11:00*Biosimilars*in*ophthalmology*(Laszlo*Bekesi)

    • 11:00+11:15*Xbrane Biopharma*(Martin*Åmark)

    • 11:15*– 11:30*QnA
KOL$event$ Building$a$successful$biosimilar$company - February 2019 - XBrane
INTRODUCTION TO)XBRANE BIOPHARMA

                                                                                                     Our
                                                                                                  strategy
                                                                                                         Strategy

 The only biosimilar developer with a commercialization partner on              Develop high quality and cost efficient biosimilars
               the lead candidate targeting Lucentis®
                                                                                • Focusing on niched drugs with few competitors

                                                                                • High yield technology platform leading to high margins
                       Xlucane         Spherotide
                       Phase III                                                • Establish local partnerships for sales and distribution

                                                    Karin Johannson                                                         Dina Jurman
     Martin Åmark          Anders Tullgren                            Maris Hartmanis             Peter Edman
                                                      Wingstrand                                                               Head of
         CEO                 Chariman                                 Board Member               Board Member
                                                     Board Member                                                           clinical affairs
KOL$event$ Building$a$successful$biosimilar$company - February 2019 - XBrane
AGENDA

    • 10:00*+ 10:10*Introduction*(Anders*Tullgren)

    • 10:10*– 10:35*Building*a*successful*biosimilar*company*(Manfred*Weiler)

    • 10:35*– 11:00*Biosimilars*in*ophthalmology*(Laszlo*Bekesi)

    • 11:00+11:15*Xbrane Biopharma*(Martin*Åmark)

    • 11:15*– 11:30*QnA
KOL$event$ Building$a$successful$biosimilar$company - February 2019 - XBrane
11"OF"GLOBAL"TOP"15"DRUGS"ARE"BIOLOGICS

                                          Biologics

                      6,25

Note:"IGEA
KOL$event$ Building$a$successful$biosimilar$company - February 2019 - XBrane
PRICE&PUTS&A&LIMIT&TO&BIOLOGICS&ACCESSABILITY

                                                                                                                                                                                             Rheumatoid'arthritis
                       Macular'degeneration                                                                                                          Cancer
                                                                                                                                                                                              (TNFa inhibitors)

                                                                    €5
KOL$event$ Building$a$successful$biosimilar$company - February 2019 - XBrane
BIOLOGICS(PUTS(A(HUGE(AND(INCREASING(BURDEN(ON(HEALTHCARE(SPEND
 Global(pharmaceutical market(€(billion
 1500
                Biologics

                Traditional
                pharmaceuticals
 1000

                                                  2%    ”We know that biologics are used to treat many
                                                        serious and life-threatening diseases. They’ve
                                                        become a mainstay in the treatment of cancer and
    500
                                                        autoimmune conditions.
                                                        They’re also expensive. While less than 2
                                                        percent of Americans use biologics, they
                                                  10%   represent 40 percent of total spending on
                                                        prescription drugs.”
          0
                2011              2017    2022E
                                                        Scott Gottlieb, FDA Managing Director

Source:(IQVIA
KOL$event$ Building$a$successful$biosimilar$company - February 2019 - XBrane
BIOSIMILAR)DEVELOPMENT)DIFFERS)FROM)NOVEL)PRODUCTS)–
MORE)FOCUS)ON)PRECLINICAL)DEVELOPMENT)

                   +€1$billion              €501100$million
                   +10$years                   617$years
KOL$event$ Building$a$successful$biosimilar$company - February 2019 - XBrane
HISTORIC(OVERALL(SUCCESS(RATE(OF(APPROX.(95%(FOR(BIOSIMILARS(
ENTERING(PHASE(III

                                                               Launch
                                 MAA/BLA
                                                        100%2(Europe)2and2
         Phase III                                      70%2(US)2launched2
                             Europe:2442approvals
                                                           upon2patent2
                               US:2192approvals
                                                       expiration/readiness

                                             EU:1.7%   US:3%
                        3%
REGULATORY*REQUIREMENTS*CLARIFIED*– 44*BIOSIMILARS*APPROVED*BY*EMA*
AND*19*BY*FDA (AS*PER*JANUARY*2019)

          2006               2007               2008               2009               2010               2011                2012   2013   2014    2015     2016      2017    2018    2019     2020    2021   2022

                                                                                                                                            USD5.6B                          USD18B
                                       1/0                                                                                                     3/0                              5/0
                                       1/0                                                                                                     2/0                              3/1
                                        0                                                                                                       0                                6

                                                                                                                                                  USD7.2B                       USD7.2B
                                                      7*/0                                                                                           4/0                           2/0
                                                      2/2                                                                                            3/1                           1/1
                                                       0                                                                                              4                             6

                                                                                                                                                          USD8B                       USD4.6B
                                                                      4*/0                                                                                  2/0                          5/1
                                                                      1/0                                                                                   1/0                          2/2
                                                                       2                                                                                     4                            2

                                                                                                                                                            USD7.6B                          USD1.7B
                                                                                                                                                               5/0                              1/1
                                                                                                                                                                3/2                             0/1
                                                                                                                                                                 3                               0

X EMA*approved/in*reg.*process                                                                                                              USD0.8B                USD8.1B
X FDA*approved/in*reg.*process                                                                                                                  2                     2/1
X In*Phase III*targeting Europe/US                                                                                                              0                     1/2
                                                                                                                                                0                      5
Note:*2*filgrastim*biosimilars*withdrawn*from*market,**1*EPO*biosimilar*withdrawn*from*market*Source:(Company(information.
BIOSIMILARS)ARE)FOLLOW)ON)PRODUCTS)TO)BIOLOGICS

                                 Traditional*Pharma*                                          Biologics*
                                 Chemical*small*molecules                                  Large*macromolecules

                                                        Generics                                              Biosimilars
                      Originator*drugs                                         Originator*drugs
                                                   After(loss(of(exclusivity                               After(loss(of(exclusivity

                                                                                                          1*biosimilar at*21%*
                                                  9*generics at*90%*
                                                                                                               discount
                                                      discount

                                                  12*generics at*90%*                                    2*biosimilar at*31%*
                                                       discount                                               discount

                                                  7*generics at*90%*                                      5*biosimilar at*37%*
                                                      discount                                                 discount

Source:(Company(information.
BIOSIMILAR,MARKET,EXPECTED,TO,GROW,AT,30%,FUELED,BY,STRONG,GROWTH,
DRIVERS

        Global,biologics market,€,billion                                        Strong'fundamental'growth drivers

        400                                                     10%
                                                                       •1 Loss of exclusivity of originators: +EUR100bn to be
                                                                          exposed 2022

        300
                                                                       •2 Regulatory clarity: 44 biosimilars approved in
                                                                          Europe, 19 in US
        200
                                                                       •3 Payor, physician and patient adoption: Biosimilar
                                                                          penetration on filgrastim up to 90% in Europe
        100

              0                                                  30%
                              2011            2017       2022
                                Biosimilars    Exposed   Protected

Source:(BCC(research.(IQVIA
ADOPTION(AMONGST(PHYSICIANS,(PATIENTS(AND(PAYORS(DRIVE(FASTER(AND(
FASTER(BIOSIMILAR(PICK(UP

         Average biosimilar penetration vs. originator
         100%
                         GCSF         Europe                                                     91%
                         HGH          Europe                                                    8(years
                         EPO          Europe
            75%          Infliximab   Europe                                                               67%
                         Etanercept   Europe                                                              9(years
                         Rituximab    Europe
                                                      51%
                         GCSF (US)    US
            50%                                      3(years
                                                          50%                                    41%
                                                         3(years                                8(years
                                            26%
            25%
                                           2(years
                           11%
                          1(year
                0%
                     0         1               2         3           4            5     6   7     8          9
                                                                   Years after launch
Source:(IQVIA
REMICADE(EXAMPLE:(BIOSIMILARS(HAVE(TAKEN(20730%(EACH(OVER(3(YEARS(
AND(MARKET(HAS(EXPANDED

    Treatment days

    130
                                                            +37%
    110                                                                   22%

       90                      +29%

                                                                          28%
       70

       50

       30                                                                 48%

       10

     710         2010   2011          2012   2013   2014   2015    2016   2017

Source::(IQVIA
ORIGINATORS)USE)DIFFERENT)RESPONSE)STRATEGIES)TO)BIOSIMILARS

                                                                                                                  Patent)
        Launch new)molecule                                                Reformulation                                          Compete on)price
                                                                                                         litigations/extensions

                                                                         Intravenous(to(subcutaneous(                                  Europe
                                                                                   injection

                                                                          Intravenous(to(subcutaneous(
                                                                                    injection

Note:)Dalton)is)the)unit)for)atomic)mass.)Source:(Company(information.
MULTIPLE(INNOVATIVE(BIOSIMILAR(DEVELOPERS(HAVE(EMERGED

     Innovative)developers     Traditional generics companies   Innovative)biologics players

                             +(Multiple local champions
1.#Introduction

KEY#SUCCESS#FACTORS#FOR#BIOSIMILAR#DEVELOPERS
    1                                            2

                                                     Cost efficiency in)development and)
                  Build the)right)capabilities
                                                                  production

        3                                        4

                   Pick)the)right)products             Get)sales and)marketing)right
SUMMARY

• Biologics+efficacious+but+expensive+6 biosimilars)provides)cost)efficient)alternatives

• Biosimilar+market+is+growing)with)30%)p.a.+driven+by+loss+of+exclusivity,+regulatory+clarity+and+
  increased+adoption

• Biosimilar+success)rates from+entering+phase+III+to+regulatory+approval+approx.)95%

• Biosimilar+penetration has+reached+up)to)90%)in+Europe+(Filgrastim)

• Active)deal)landscape)6 innovative+biosimilar+developer+license+out+to+big+pharma

• Biosimilar)developers)can)become)long)term)successful)focusing+on+building+the+right+
  capabilities,+cost+efficient,+picking+the+right+products+and+partner+up+for+sales+

                                                                                                      19
AGENDA

    • 10:00*+ 10:10*Introduction*(Anders*Tullgren)

    • 10:10*– 10:35*Building*a*successful*biosimilar*company*(Manfred*Weiler)

    • 10:35*– 11:00*Biosimilars*in*ophthalmology*(Laszlo*Bekesi)

    • 11:00+11:15*Xbrane Biopharma*(Martin*Åmark)

    • 11:15*– 11:30*QnA
WET AMD)AND)DME)ARE MAJOR)DISEASES IMPAIRING PATIENTS VISION

                                       Age$related macular degeneration                                                                                                                                                Diabetic macular edema

       • Prevalence)1;3%,)increasing)rapidly)at)+65)years)                                                                                                               • Diabetes)affecting)10%)of)population)– working)
         age                                                                                                                                                               age

                                                                                                                                                                         • 1;3%)of)diabetic)patients)develop)macular)edema
                                                                                                                                                                           with)vision)loss
Source:(Klein(et(al.(Ophthalmology(20079(114:(253>262(|(Klein(et(al.(Ophthalmology(19929(99:(933>943(|(Kahn(et(al.(Am(J(Epidemiol 19779(106:(17>32(|(Vingerling et(al.(Ophthalmology(19959(102:(205>210(|(Wang(et(al.(Ophthalmology(20079(114:(92>98(|(   21
Mitchell(et(al.(Ophthalmology(19959(102:(1450>1460
1.#Itroduction

VISION#IMPAIRMENT#LIMITS#PATIENTS#ABILITY#TO#LIVE#NORMAL#LIVES
VEGFA(INHIBITORS(HAVE(REVOLUTIONIZED(TREATMENT

                                                 23
TREATMENT'WITH'VEGFA'INHIBITORS'TYPICALLY'OVER'MULTIPLE'YEARS
SIGNIFICANT$UNMENT$MEDICAL$NEED$DUE$TO$HIGH$COST$OF$TREATMENTS$
AND$REIMBURSEMENT$RESTRICTIONS

                  Europe'and'US'(number'of'eyes,'million)                                                                                                                 Rest'of'world'(number'of'eyes,'million)

                                       5,2
                                                                                                                                                                                   12,9

                                       1,4$

                                                                                                                                                                                    7,1$

                                       3,8$                                                               1,7
                                                                                                           0,7$
                                                                                                                                                                                    5,8$
                                                                                                           0,4$
                                                                                                           0,6$                                                                                                     0,5?1,0
                                                                                                                                                                                                                      0,5$
                                                                                                                                                                                                             0,1$             0,1$
                             Prevalence                                                               Treated                                                                   Prevalence                          Treated
                          wAMD DME                                                Eylea                   Lucentis                      Avastin                                wAMD        DME       Eylea      Lucentis             Avastin

Source:(Analysis(based(on(prevalence(of(diseases,(sales(data(from(IQVIA(on(Lucentis and(Eylea assuming(6(doses(per(patient(per(year(and(survey(data(on(usage(of(Avastin
CURRENTLY2SUB!OPTIMAL2EFFECT2DUE2TO2EXPENSIVE2TREATMENTS

                                                              12     Clinical2trials1
               Visual2improvement2after2122months2(letters)

                                                              11     Real2world data2EU2
                                                              10
                                                               9
                                                               8
                                                               7
                                                               6
                                                               5
                                                               4
                                                               3
                                                               2
                                                               1
                                                               0
                                                              !1 3        4             5           6           7           8           9      10   11   12

                                                                                                  Number2of2Lucentis®2injections2in21st2year
Source:(1)(HARBOR0(ANCHOR0(MARINA0(PrONTO0(VIEW10(VIEW20(CATT0(IVAN(trials0(2)(LUMINOUS(trials.                                                               26
LUCENTIS®'AND'EYLEA®'ONLY'APPROVED'VEGFA'INHIBITORS'FOR'OPHTALMIC'
USE'5 AVASTIN®'USED'OFF5LABEL

                                                                             Lucentis®                                                                      Eylea®                                                       Avastin®

              Treatment                                 • Designed to treat macular                                                 • Designed to treat macular                                           • Anti-body used to treat different
                                                            degenerations                                                               degenerations                                                         types of cancers (off-label)

                 Efficacy                                                                                                           • 7 – 11 letters 1
         (vision'improvement after                      • 7 – 11 letters 1                                                          • Non-inferiority to Lucentis                                         • Non-inferiority to Lucentis
                  12'months)                                                                                                            demonstrated                   2
                                                                                                                                                                                                              demonstrated 3

                   Safety                               • Generally well tolerated 1                                                •      Similar safety profile as                                      •    Various safety issues
                                                                                                                                           Lucentis demonstrated2)

    Avarage                          US                                                             EUR 9 600                                                                   EUR 9 760                                              EUR 900
                                                                                                                                                                                                                 Off5label
     cost                                                                                                                                                                                                         usage
     (Per5patient5
      per5year)                      EU                                                             EUR 4 200                                                                   EUR 4 453                                            EUR 1 020

Note:.'Source:'1)'HARBOR,'ANCHOR,'MARINA,'PrONTO trials='2)'VIEW1'and'VIEW2'trials='3)'CATT'trial,'Pharmacies='Assuming'price'discount'of'30K40%'vs.'reference'product=''Based'on'real'world'data'from'
Swedish'Macular'Registry.

Exchange'rate'EUR/SEK=10.4638'as'of'June'30'2018.
MARKET&IS&GROWING&AT&11%&PER&YEAR&– LUCENTIS® STILL&DEMONSTRATES&
STRONG&GROWTH&

 Market&for&VEGFa inhibitors&for&ophthalmic&use&(EUR&billion)

 10
                                                                                                                       9,1    11,5%
  9
                                                                                                                7,9
  8
                                                       7,3
  7

  6                                                                                                                    5,9
                                                                                                                5,1
  5                                                    4,6

  4

  3

  2
                                                                                                                       3,2      9%
                                                       2,7                                                      2,8
  1

  0
                                                     2016                                                       2017   2018
      Note:&EUR/USD&=&1.2003&as&of&December&31&2017.&Source:(1)(Evaluate(Pharma3(2)(Swedish(Macular(Registry.                     28
EYLEA® AND(LUCENTIS® USED(WITH(SIMILAR(NUMBER(OF(INJECTIONS(PER(
YEAR(DESPITE(LABEL(DIFFERENCE
                                                  Average(number(of(injections(per(year((Swedish(macula(register)

                                                   15

                                                   10

                                                       5

                                                       0

Note:(Dalton(is(the(unit(for(atomic(mass.(Source:(Company(information.
AVASTIN® IS(ATTACHED(WITH(SERIOUS(SAFETY(RISKS

      16%$significant$                                                                                                                                                                      0.86$(0.75D0.98)
      increased$risk$with$                                                                                                    Death
      Avastin

                                                                                                                                                                                    0.83$(0.64D1.08)
                                                                                   Myocardial$infarction

                                                                                                                                                                                                               1.03$(0.92D1.16)
                                                                                                                      Bleeding

    28%$significant$                                                                                                                                                     0.78$(0.64D0.96)
    increased$risk$with$                                                                                                    Stroke
    Avastin

                                                                                                                                               0.6                     0.7                  0.8        0.9        1.0        1.1    1.2    1.3

                                                                                                                                                      More$events$with$Avastin                                          More$events$with$Lucentis
Source:(Curtis(LH,(et(al.(Arch(Ophthalmol 2010;128:1273?9,(Adjusted outcomes at(1(year for the comparison of(ranibizumab (n(=(19,026)((and bevacizumab (n(=(21,815)(as(first?line(therapy
FUTURE WET AMD LANDSCAPE+– WHAT IS+IN+THE+PIPELINE?

                                            Wet$AMD(Development(Pipeline(and(Marketed(Assets
                         Phase(I/II
                                                              Phase(II
                                                                                                                Phase(III
          PAN+90806+: PanOptica                    ICON:1+: Iconic+Therapeutics                                                                            Marketed
                                                                                                      Brolucizumab : Novartis
          SF0166+: SciFluor                        APL:2+: Apellis
                                                                                                       Abicipar (Abicipar pegol)+:                      Lucentis+(ranibizumab)+:
                                                   OPT:302+– Opthea                                    Allergan/Molecular+Partners AG                   Novartis
          GB:102+(sunitinib)+: Greybug                                                                 Faricimab+– Roche
          Vision+
                                                                                                       Conbercept+– Chengdu+KH                          Eylea+(aflibercept)+:
                                                   Zimura (avacincaptad pegol)+–
                                                   Ophthotech Corporation                              XLUCANE+ranibizumab                              Regeneron/Bayer/Sanofi
                                                                                                       (Lucentis)+biosimilar+– Xbrane
                                                   DE:122+(carotuximab)++– Tracon
                                                   Pharmaceuticals/Santen+                             ranibizumab+(Lucentis)+biosimilar+                Avastin*+(bevacizumab)+:
                                                                                                       : Samsung+Bioepis Co.,+Ltd.                       Genentech++
                                                   ALK+4290++– Alkahest
                                                                                                       ranibizumab+(Lucentis)+biosimilar+
                                                   ranibizumab++PDS– Genentech+                        : Formycon/Bioeq
                                                   KH+902+(Conbercept)+: Chengdu+                      aflibercept+(Eylea)+biosimilar+–
                                                   Kanghong,+                                          Mylan/Momenta+
                                                   Marketed2in2China2only2                             Pharmaceuticals
                                                                                    Legend                                                          Biosimilar+     *Used+off:label

         Route2of2Administration      Injection+      Ophthalmic/Drops      PO/Tablet       Topical+Solution+      Implant

         Mechanisms/Targets                                                                                                    Chemokine+CCL11+          Molecule+receptor+
                                         VEGF:A        VEGF:C/VEGF:D        VEGFR:2+inhibitor+        Anti:endoglin+MAb
                                                                                                                               inhibitors                tyrosine+kinase+inhibitor

                                      Complement+factor+C3+                                                                                       Anti:tissue+factor+MAb+factor+VII+
                                                                     Complement+factor+C5+inhibitor         Integrin alpha 5+beta+3+inhibitor
                                      inhibitor                                                                                                   conjugate

                                                                                                                                                                                       31
BIOSIMILARS)LIKELY)TO)TAKE)MAJORITY)OF)FUTURE)+€10B)VEGFA)INHIBITOR)
MARKET)IN)EUROPE)AND)US
                                                        Market)for)VEGFa inhibitors)for)ophthalmic)use)(€b)
                                                                                                                                          Rest)of world

                                                                                                                          €)+10)billion
                                                             €)9.1)billion

                                                             €)8)billion                                                    Novel

                                                                                                                         Biosimilars         Europe and)US
                                                                                                                        +75%)volume/)
                                                                                                                         60%)value
                                                                                       Price                  Volume       share

                                                                2018                                                         2025

  Number)of)patients*)(m):                                   1,1)million                                                  +2)million

  Doses)per)patient)per)year:)                                Up)to)6                                                        6\8

  Average)price)per)dose:                                      €1100                                                     Novel:)€1100
                                                                                                                       Biosim:)€500\600
  Products)on)market:                                     2)(Lucentis)and)                                              3\5)biosimilars
                                                              Eylea)                                                      2\6)novel
    *Patients)on)approved)products)Lucentis and)Eylea                                                                                                        32

    Source:)Xbrane analysis,)Datamonitor.
SUMMARY

• VEGFa inhibitors.have.revolutionized.treatment.for+several+severe+eye+disorders+(wAMD and+
  DME)

• Severe.unmet.medical.need.: 18+million+individuals+affected+: 1+million+on+treatment+with+
  approved+products

• Lucentis®+and+Eylea® only+approved+products+: €5:10.k.per.patient.and.year

• Avastin® used.off:label due+to+lower+cost+despite.severe.safety.risks

• Pipeline.of.novel.drugs.is.drying.out

• Biosimilars.expected.to.take.majority.of.future.+€10.billion.VEGFa inhibitor.market.in.
  Europe.and.US
AGENDA

    • 10:00*+ 10:10*Introduction*(Anders*Tullgren)

    • 10:10*– 10:35*Building*a*successful*biosimilar*company*(Manfred*Weiler)

    • 10:35*– 11:00*Biosimilars*in*ophthalmology*(Laszlo*Bekesi)

    • 11:00+11:15*Xbrane Biopharma*(Martin*Åmark)

    • 11:15*– 11:30*QnA
Lead%candidate%in%phase%III%and%5%pre0clinical%assets

  Xlucane (targeting Lucentis®)                                                                                     5 pre-clinical assets
    • Late stage clinical candidate                                                                                 • 1 asset with signed partnership, (MAA anticipated 2020)

    • Study design acceptance from FDA (2019-01-15)                                                                 • 4 pre-clinical assets in pipeline targeting drugs with total annual
                                                                                                                      sales of SEK 6bn
    • Currently the only Lucentis® biosimilar with a signed
      commercialization partner                                                                                     • Multiple candidates enables continuous news flow

    • Sales potential exceeding SEK 3bn per year                                                                    • High quality technology platform enabling development of new
                                                                                                                      candidates

                                                                                                                                                                        Commercialization
  Candidate                           Indication                             Novel drug target           Phase I       Phase II           Phase III                         Partner
                                                                                                                                                                                            Rights

  Xlucane                             Macular Degeneration                                                                                2019-2021
                                      • Wet AMD 1                                Lucentis®                   Not Applicable                (initiated)                                      Wholly-
                                                                             (Roche & Novartis)                                                                                             owned
                                      • DME 2                                                                                                            Success rate
                                                                                                                                                           Phase III
                                                                                                                                                             97%

                                      Rheumatoid and Psoriatic                       Cimzia®
  Xcimzane                                                                                                   Not Applicable               2022-2024
                                      arthritis Chrons desease                        (UCB)
                                                                                                                                                                        To be decided
  Xoncane                             Acute lymphoblastic leukemia                 Oncaspar®                                                                                                Wholly-
                                                                                                             Not Applicable               2022-2024                                         owned

  Spherotide                          Advanced metastatic prostate             Decapeptyl®/Triptorelin
  (Hybrid)                            cancer, breast cancer, endometriosis    Debiopharm/Ipsen/Ferring       Not Applicable               2019-2020                            o
1.#Wet#Age)Related#Macular#Degeneration#(wAMD)
                                                                                                                                                         Success rate
                                                                                                                                                          MAA/BLA
2.#Diabetic#Macular#Edema (DME)                                                           Completed development        Planned clinical trails             97-98%
Biosimilar'pioneer'STADA'(~EUR'5bn'market'cap)'to'sell'and'market'Xlucane                                                                                                                                       o

           Summary'of'the'co.development'partnership'with'STADA                                                                             Experienced'in'successfully'launching'biosimilars

      2018                                                                                                                           •   STADA is a German pharma company, specialising in the production and sales of
                                                                                     Equal share of profit at EBIT level
                                                50/50                                Equal share of development expenses                 generic and OTC drugs. It has ~11,000 employees globally, production sites in 7
                                       profit/expense sharing
     Partnership'announced                                                           (worth EUR 20m)                                     countries2) and sells its products in more than 130 countries

                                                                                                                                     •   Marketing and sales are STADA’s strengths, in-licensing and co-developing drugs
      2019                                     EUR 7.5m
                                                                                     Upfront payment of EUR 7.5m to Xbrane
                                                                                                                                         with partner companies
                                           upfront payment
                                                                                                                                     •   Xbrane-partnership in-line with group strategy, developing their biosimilar
                                                                                                                                         portfolio and complementing the diabetes segment
                                                Phase lll                            Xbrane responsible until completion of
      2020                                   clinical study                          authorization applications to EMA and FDA       •   Market cap of EUR ~5bn, being listed on the Frankfurt stock exchange

                                                                                                                                     STADA in the biosimilar field:
                                         MAA/BLA approval
                                                                                     Submission anticipated mid 2020
      2021                                   process
                                                                                                                                     •   STADA introduced its first biosimilar for the therapeutic areas of nephrology and
                                                                                                                                         oncology as early as 2008. In 2014 another biosimilar product was introduced for
                                                                                                                                         the indication of chemotherapy-induced neutropenia
                                        Sales and marketing                          STADA responsible for sales and marketing
      2022
                                                                                                                                     •   Previous biosimilar partnership experience with Gedeon Richter which includes a
                                                                                                                                         biosimilar for the area of oncology used for non-Hodgkin lymphoma

                                                                                                                                     •   STADA’s vision includes a closer and more comprehensive focus on the biosimilar
                                                                                                                                         market

                                              The'partnership'has'significantly'de.risked'the'development'risk'and'increased'sales'potential.'

Note:'1)'Partnership'covers'NA,'APAC,'MENA'and'Europe'(not'MECE).'2)'As'of'2014.'Source:(Company(website4(Annual(reports4(Factset.
Sales*potential*of*EUR*3006350m*(ONLY*IN*EU*AND*US)

                                                                                                           Potential of reaching
                                                                                                       currently untreated patients
                                                                        Potential of gaining market     in emerging markets with
                                                                       share from off-label usage of      lower priced product
                                                                         Avastin providing a safer
                                                                           treatment option at
                                                                              reasonable cost
1400,0                                    Potential of 50% increased
                                         number of doses per patient
1200,0   Capturing 25% of expected         per year in EU/US due to
         Lucentis biosimilar market in            lower costs
1000,0
            EU/US at 30-40% price
 800,0            reduction

 600,0                                       EUR$150'175m2)

 400,0         EUR$300'350m1)

 200,0

   0,0
                 Base$case                                                                                                            Total

                             Xlucane base*case*peak*sales*potential*of*EUR*3006350m*with*significant*further*upside
                                       Gross*margins*expected*at*+90%,*profits*shared*50/50*with*STADA
Phase&III&study&design&acceptance&– enabling&marketing&authorization&across&key&
markets&globally&before&launch
                               Recruitment,9,months                                     Treatment,12,months
     Start

                                                                                                                                       o
             • Multi-regional clinical trial with 150 sites
               across EU, US, India, China and Russia                                     Xlucane
                                                                                        290 patients
             • Enable Marketing Authorization across
               key markets globally

             • Partnership with highly qualified global
               CRO                                                                       Lucentis®
                                                                                        290 patients
             • FDA Clinical trial approval, other countries
               pending

                                                                 Primary end-point                             Secondary end-points
                                                              Change in Visual acuity                           after 12 months e.g.
                                                              (“BCVA”) after 8 weeks                          Immunogenicity, BCVA,
                                                                                                                  Retina thickness
Public'peers and'candidate development

                                                          Overview'of'conducted'clinical'trials                                                                                Key take-away

                                                                     Commercialisation            Other biosimilars       Market Cap.
    Candidate (target)                            Developer          Partner                   under development            (SEK in million)   Other Partners                     Few Competitors

                                                     Momenta                                   Copaxone (approved)
  Eylea                           Phase III       Pharmaceuticals,           None                Levonix (approved)           SEK 9 400            Mylan
                                                       Inc.                                        Humira (Phase III)

  Eylea
                                                                                               Neulasta (approved in
                                  Pre-Clinical
                                                    Coherus Bio
                                                                             None
                                                                                                                  US)
                                                                                                                              SEK 7 500                                        Xlucane is 1 of 3
                                                   Sciences, Inc.                                   Humira (Phase III)
                                                                                                     Enbrel (Phase III)                                                     Lucentis biosimilars in
  Lucentis
                                                                                                                                                                          clinical stage (4 in total),
                                                                                                                                                                          and the only one with
                                                                                                                                                                          a commercialization
  Lucentis                        Phase III        Formycon AG               None                        2 pre-clinical       SEK 2 500            Bioeq IP
                                                                                                                                                                               partner.

                                                                                               Teraparatide (Phase III)
  Lucentis                        Phase I           Pfenex Inc.         Pfizer (Aborted)
                                                                                                         4 pre-clinical
                                                                                                                              SEK 1 140

                                                                                                                                                   CR Pharma
                                                      Xbrane
  Lucentis                        Phase III
                                                   Biopharma AB
                                                                            STADA
                                                                                           !             4 pre-clinical          SEK 290           (Distribution in   !
                                                                                                                                                   China)

Note:&Data&provided&by&S&P&CapitalIQ 2019;01;14
Important)milestones)reached)in)2018

                             Signed partnership with CR Pharma (China)

                             Anders Tullgren joined the board as Chariman

                             Signed commercialization deal with STADA

                             STADA paid EUR 7.5m in up-front payment

                             Strategic decision to focus on Biosimilars

                             Positive feedback from the FDA phase III Xplore
                             meeting

                      Xbrane has)during)2018))delivered)according)to)scheduled)milestones
Significant value drivers*ahead

                                                                             Development*timeline

                        Other
     Xlucane
                      Candidates

      Phase III
   CTA submission                                                           MAA/BLA
                                       100% Recruited
                                                                           Submission
             Phase III                 Phase III/Xplore
                                                                                                   Approval
           CTA approval         25/50/75% Recruited
                                   Phase III/Xplore
                                                              Interim                            Phase III/Xplore
                     First Patient                         Clinical Data
                      Recruited
                    Phase III/Xplore                                                                                Sales launch
                                                                                    Marketing
                                                                                                                    (patent loss)

                     H1      2019      H2                      2020                             2021                          2022         2023

                                            Spherotide         Partnership deal                                           XM1 & XM2
                                                               with pre-clinical                                        Partnership deal
                                        Partnership deal            assets

                                                                                  Spherotide
                    Phase III initiation with                                      MAA/BLA
                        Spherotide                                                Submission
Summary

       Late2stage2candidate2                                      Xlucane,+XBrane’s lead candidate,+a+Lucentis®+biosimilar,+has+received+FDA+acceptance of+
        entering2phase2III                                        initiation+for+Phase2III2clinical2trials.2Clinical+design+available+at+Clinicaltrails.gov*

         Historical2low2risk
                                                                  Biosimilars+have+higher probability of+success (95%)+from+initiation+of+phase+III+contrary+to+
         de@risking2the2case
                                                                  novel+biological+drugs+(50%)

         EUR2300m2sales2                                          Market+roll+out+for+Xlucane 2022+in+collaboration+with+STADA,2with+estimated+peak+sales+of+
       potential2estimate2by2                                     EUR+300+– 350m+in+base+case
              STADA
         Pipeline2assures2
       continued2news2flow2                                       Xbrane will+during+2022+have+multiple other+candidates in+clinical+Phase+III+trials

                                                    Xbrane is+well+positioned+for+a+rapid+market+rollQout+having+a+deQrisked+biosimilar+candidate

                                                                                                                                                                    42
*Comparing+the+Efficacy+and+Safety+of+Biosimilar+Candidate+Xlucane Versus+Lucentis®+in+Patients+With+nAMD (XPLORE),+Xbrane Biopharma+AB+and+STADA+Arzneimittel AG
(https://)clinicaltrials.gov/ct2/show/NCT03805100?term=xlucane&rank=1
AGENDA

    • 10:00*+ 10:10*Introduction*(Anders*Tullgren)

    • 10:10*– 10:35*Building*a*successful*biosimilar*company*(Manfred*Weiler)

    • 10:35*– 11:00*Biosimilars*in*ophthalmology*(Laszlo*Bekesi)

    • 11:00+11:15*Xbrane Biopharma*(Martin*Åmark)

    • 11:15*– 11:30*QnA
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