Shareholder Newsletter - August 2015
Released
Released
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August 2015
Newsletter
Message from the Chairman
Dear Shareholders and Investors,
I am pleased to present Immuron’s first company newsletter to update you on the
status of our clinical trial programs, sales of Travelan (for preventing travellers’
diarrhoea) and ongoing developments that will provide us with a strong platform
for future growth.
Immuron broadened its global footprint by launching its Travelan business into
Canada and the US. In April 2015, we received our first orders for Travelan from
the largest travel medicine chain in the US, with over 240 clinics providing travel
medicine services worldwide. The US represents a significant market opportunity
for Immuron and the volume of initial US orders was higher than anticipated,
further bolstering the potential for significant revenue as the US roll-out gains
momentum.
In August 2015, we executed our first major non-exclusive sales agreement with
a sub-distributor in the US, Traveler’s Supply Inc. of Springfield Massachusetts
who have contracted to distribute Travelan for a minimum annual purchase of
50,000 units. This is a major endorsement to our distribution strategy in the US
market, which maximises margin without the high level of investment required
with a direct sales force.
In mid-2014, Immuron also signed a licensing agreement for the sale of Travelan
in South Korea, followed by a subsequent agreement in early 2015 for Travelan
in China. We are currently awaiting regulatory approval from local authorities
before being able to commence sales in these new regions.
The Company has also made significant advances on its other associated
pipeline products with the registration and pending launch of our new dietary
health supplement in Australia (Protectyn). Protectyn is a hyperimmune
colostrum product for gut health, which rebalances the gut flora by targeting
inflammatory bacteria and their products. We are looking forward to its launch in
the coming months.
Immuron is also making headway with its IMM-124E Phase 2 clinical trial for NonAlcoholic Steatohepatitis (NASH). We have recruited 33 out of 120 NASH
patients in 19 active sites across the US and Australia. We aim to have recruited
all 120 NASH patients by the end of 2015. In order to maximise the value of this
clinical trial, Immuron is exploring further endpoints now favoured by US Food
and Drug Administration (FDA) to determine efficacy and progression of this
global disease.
The NASH market has continued to strengthen with global players and deals for
NASH products becoming very active. Notably, Boehringer Ingelheim recently
acquired Australian-based Pharmaxis’ investigational Phase 1 anti-inflammatory
Immuron launches
New Product;
Protectyn
Immuron will be launching
Protectyn, a dietary supplement
for gut health, scientifically
formulated to help maintain a
healthy digestive function and
support the liver.
Protectyn is enriched with antiLPS antibodies, which
minimises gram negative
bacteria in the gut, improving
bacterial clearance, reducing
chronic inflammation and
improving immune function.
Immuron Newsletter | August 2015
drug candidate for NASH. This deal is significant to the
Australian biotech sector and we believe Immuron’s
Phase 2 IMM-124E product is more advanced in its
progress to market and therefore well-placed to
capitalise on the rising interest in the global market.
Travelan’s growing global presence, and the
Company’s progression of its NASH and and Alcoholic
Steatohepatitis (ASH) Phase 2 clinical trial programs,
makes Immuron well placed to meet significant
untapped opportunities in the market.
A key move for the Company has been to appoint
Senior Vice President of Innovation, Dr Dan Peres, who
is now responsible for leading and managing Immuron’s
innovation programs, including the Phase 2 clinical
trials for NASH, and for the support of US National
Institute of Health (NIH) funded Phase 2 clinical trial
program for ASH.
To further bolster Immuron’s management team, just
last week we appointed a new Chief Operating and
Scientific Officer, Dr Jerry Kanellos who will act to
support and complement Dr Peres in the NASH and
ASH clinical trial programs from a drug development
and manufacturing perspective as well as to aid the
further development of other pipeline programs.
Dr Peres and Dr Kanellos are both important
appointments with significant and relevant experience
that makes them valuable additions to the Immuron
management team.
The Board is committed to establishing the right
leadership team to guide Immuron through this next
phase of its development. We are highly cognisant that
the recent changes in CEO have been less than ideal,
and whilst we are disappointed that our recent CEO
appointment did not work out, we are absolutely
focused on building the right team. We will keep you
updated on our recruitment process as further
developments occur. In the meantime, we have a strong
executive team in place to continue to progress our
activity across Travelan sales growth, the NASH and
ASH clinical trials, as well as the further development of
our other innovation programs.
On behalf of Immuron, I would like to thank you for your
support during our period of structural change. We look
forward to what we believe will be an exciting year
ahead from which we will create a solid position for
sustainable development and growth, and I look forward
to being able to provide shareholders with updates of
this progress over the coming months.
Yours sincerely,
Roger Aston
Chairman
Updates
Travelan® is Immuron’s hyperimmune colostrum
product for the prevention of Travellers’ Diarrhoea (TD).
Travelan is unique, clinically proven to reduce the risk
of TD by over 90%.
Did you know? Colostrum is the first milk or
secretion from mammals after giving birth and is
rich in antibodies to promote healthy development
of the newborn’s immune system. Immuron’s
hyperimmune technology further enriches bovine
colostrum with a high concentration of antibodies.
Travelan is currently awaiting regulatory approval in
China and is available for sale over-the-counter (OTC)
through pharmacies in Australia, South Korea, Canada
and the US.
The US represents a significant market opportunity for
Travelan and the Company is excited by the initial
success and enthusiasm shown by travel clinics in the
US. In April 2015, Immuron received a higher than
anticipated volume of first orders for Travelan in the US
from the largest travel medicine chain, Passport Health.
Passport Health has over 240 clinics providing travel
medicine services across the US. In early August 2015,
Immuron has further executed on its first major nonexclusive Travelan sub-distributor agreement with
Traveler’s Supply Inc. of Springfield Massachusetts.
Traveler’s Supply Inc. have contracted for a minimum
purchase of 50,000 units of Travelan annually. The
company is a leading travel medicine supply company
in the US servicing the Travel Clinic market and many
other fortune 500 companies such as Citigroup,
Barclays and Chevron.
In Australia, Travelan is sold through pharmacies, travel
medicine clinics and online channels supported by a
national contract sales force to pharmacy, specialist
sales representation to travel doctors and the Travelan
website.
Immuron Newsletter | August 2015
Accelerating
Immuron’s business
development strategy
Immuron has recently implemented new sales and
marketing initiatives focused on physician detailing,
pharmacist education and product promotion to inform
product choice, build brand reputation, encourage
physician recommendation, increase pharmacy
stockists and raise awareness.
With the appointment of Senior Vice President of
Innovation, Dr Dan Peres, Chief Operating and
Scientific Officer, Dr Jerry Kanellos and other
executive roles, Immuron has boosted its business
development activities.
To expand its global reach, Immuron has appointed
distributors in key marketplaces responsible for gaining
product registration, meeting minimal purchase order
requirements, supporting marketing and sales, and
managing logistics in licensed territories.
The current strategy is focused on expanding
Immuron’s opportunities to meet its strategic and
operational objectives by:
Reviewing, prioritising and the follow-up of existing
Travelan market development activities;
Securing new distribution partners and/or
wholesale customers for Travelan and Protectyn in
key marketplaces;
Notably, the license with Paladin Labs has been
granted for upfront fees, commercial milestone
payments and agreed transfer pricing.
Increase consumer awareness of Travelan to drive
demand through focused advertising and direct
marketing campaign via social media, travel
booking websites, online ads and at airports
around peak holiday seasons. This aims to build
brand recognition and educate consumers of the
need for Travelan in at-risk destinations to
ultimately stimulate purchase.
Engaging with potential licensing partners for
NASH/ASH clinical programs to secure potential
licensing partners for IMM-124E for NASH/ASH
programs at the end of Phase 2 or 3 milestones.
Expanding product opportunities for
hyperimmune technology platform; and
the
Constant and transparent communication with the
investment community.
Reviewing the product pipeline and recommencing
out-licensing and/or research activities in high
value project that have been deprioritised over the
last few years due to lack of funds.
Immuron has licensed rights to market, distribute and
sell Travelan as a dietary supplement (or equivalent) for
TD to Paladin Labs for Canada, Latin America and
Africa; Ziwell Pharmaceuticals for Singapore;
IntegraMed Asia for Thailand, Cambodia, Vietnam and
Hong Kong; and recently Linker Holdings for China,
Hong Kong and Macau.
In licensing suitably complementary technology.
We are confident that we have the right team to
successfully drive Immuron’s business development
strategy to build shareholder value.
Immuron is now focused on increasing Travelan
revenues globally through increasing sales in Australia
and internationally, supporting existing distributors to
advance product registration and launch in other
licensed territories, and market expansion into the
major US, Europe and Japan (and India) markets.
The Travelan Market
•
Travelan is marketed as a dietary supplement which
sits in the growing vitamins, minerals and
supplements market which produced approximately
$32 billion in revenue in 2012 and is estimated to
double to $60 billion in 2021.
•
The global traveller’s diarrhoea (TD) market is
estimated at US$600M - $1.2B. TD affects 20%50% of 35 million travellers travelling to high risk
destinations where TD is prevalent due the risk of
ingesting faecally contaminated food or water.
Immuron Newsletter | August 2015
NASH and ASH Phase ll Clinical
Trial Progress
NASH is a progressive form of non-alcoholic fatty liver disease (NAFLD)
characterised by fat build-up in the liver (steatosis) and chronic
inflammation that may progress to cirrhosis, liver failure and even cancer.
A recent Deutsche Bank review of the NASH market suggests a worldwide
market for NASH of between $35-$40 billion. The high prevalence of Type
2 diabetes and obesity, which lead to NASH and other non-alcoholic fatty
liver diseases (NAFLD), boosts the prevalence of NASH and its market
growth.
In December 2014 Immuron announced the commencement of patient
recruitment for a placebo-controlled, double-blinded and dose-ranging
multicentre Phase 2 clinical trial to evaluate the safety and preliminary
efficacy of IMM-124E in NASH patients across the US and Australia.
Immuron has so far recruited 33 out of the intended 120 NASH patients
across 19 active sites, with 13 sites in the USA and six sites in Australia
across New South Wales, Victoria and Queensland. Immuron is looking
forward to bringing on three additional sites with two in Israel and a further
site in the US, which will bring the total clinical sites to 22 over the coming
months.
Immuron is currently working closely with its principle investigators and key
opinion leaders to develop initiatives to drive recruitment with the aim of
having the trial fully recruited by the end of 2015.
To further bolster its NASH and ASH programs, Immuron has appointed Dr
Dan Ruben Peres in a newly created role as Senior Vice President of
Innovation to drive the Company’s Phase 2 NASH clinical trials and support
the US National Institutes of Health-funded Phase 2 ASH trial. Immuron
also appointed a new Chief Operating and Scientific Officer, Dr Jerry
Kanellos, a seasoned veteran in vaccine development, clinical trial
management and regulatory affairs to support Dr Peres from the
Company’s manufacturing capability perspective.
The primary objectives of the study are to evaluate the safety and
preliminary efficacy of IMM-124E. IMM-124E will be compared to placebo
in its potential to reduce liver fat and serum liver enzymes.
Patients randomised into the study will be orally administered either 600mg
or 1200mg doses of the study drug IMM-124E or placebo three times daily
for six months.
The study protocol was prepared in collaboration with a scientific advisory
board led by Professor Arun Sanyal of Virginia Commonwealth University
in Richmond, Virginia, who is a world-leading NASH specialist. Immuron
expects to complete the study in September 2016.
Immuron is now focused on advancing the NASH trial to the end of Phase
2 milestone and initiating business development to secure a R&D partner
to complete clinical development and commercialisation of IMM-124E for
NASH in key markets.
The Competitive
Global NASH
market
NASH is one of the most
common liver diseases and
is currently the third leading
cause of liver transplant in
the US. Studies show that 525% of the growing number
of patients with NASH
eventually develop cirrhosis
(scaring of the liver) within 7
years of follow up.
Many large
biopharmaceutical
manufacturing companies
such as Genfit, Gilead
Science, Novo Nordisk,
Intercept Pharmaceuticals,
Enzo Biochem and Raptor
Pharmaceutical Corp have
all commenced clinical trials
for the development of novel
therapeutics for the
treatment of NASH in order
to gain a competitive edge.
Most recently, Australianbased biotechnology
company Pharmaxis’
investigational Phase 1 antiinflammatory drug candidate
for NASH have been
acquired by pharmaceutical
giant, Boehringer Ingelheim.
The Immuron NASH product
is in a far more advanced
stage of development than
the Pharmaxis product.
Immuron Newsletter | August 2015
Fighting the war against
superbugs: Immuron’s C.Diff
Program Progresses
Immuron’s preclinical project on IMM-529 for the prevention and
treatment of superbug Clostridium difficile infection (CDI) is being
developed in collaboration with a prestigious research team at Monash
University led by microbiologist Associate Professor Dena Lyras.
CDI is a severe bacterial infection of the colon that often results from
eradication of the normal gut flora by antibiotics. The CDI bacterium
can cause bloating, constipation, and diarrhoea and has become
increasingly deadly over the past decade.
In fact, CDI infection is responsible for epidemics in Australia, Canada,
the UK and US where the cost of treating the infection is estimated to
be as high as US$3.2 billion a year.
The Global CDI Market
The public healthcare costs of CDI include increased hospital
stays, reduced quality of life and over US$3.2 billion in direct
healthcare expenditure in the US. The global market for CDI
is expected to reach US$500.9 million by 2019, with annual
growth of 4.1%.
The current standard of care for CDI is prevention with vaccines, early
intervention and aggressive treatment with antibiotics and palliative
care. However, current treatment programs are considered suboptimal
due to increasing antibiotic resistance and recurrence of CDI in 15-30%
of patients.
Upcoming
Milestones
The following milestones are expected
over the coming 6-12 months:
Milestones
Appointment of Chief Executive
Officer (CEO)
Appointment of Scientific Advisory
Board (SAB)
Securing further distribution or
wholesale partners for Travelan in the
US and other key marketplaces
globally
Subject to Chinese regulatory
approval, the launch and first sales of
Travelan in China by distribution
partner Linker Holdings
Launch of new dietary supplements
for gut and liver health – Protectyn
Immuron’s preliminary dose-ranging mouse studies have shown a
survival benefit in mice receiving anti-C.Diff colostrum. Immuron
expects to complete the mouse studies and provide clinical-enabling
data in Q1 2016. Professor Dena Lyras and Dr Melanie Hutton from
Monash recently presented at the 5th International Clostridium difficile
Symposium (ICDS) at Bled, Slovenia on 19-21 May 2015 which
resulted in strong pharma interest in the program.
Results from dose-ranging C. difficile
program pre-clinical study
There is a clear need for safe, effective and affordable therapies that
are an alternative to antibiotics to treat, prevent or stop recurrence after
primary treatment for CDI. In fact, Immuron’s IMM-529 preclinical
studies have received research funding from both the Australian
Research Council and CSIRO.
Regulatory application for C. Diff
program to be approved by TGA or
FDA
Immuron aims to submit an IND application for Phase 1/2A clinical
studies for the prevention of recurrent CDI infection in hospitalised and
immunocompromised patients.
The company may seek to partner this CDI program early with a
biopharmaceutical company with existing products and active
programs for CDI.
Complete recruitment of Phase 2
NASH clinical trial
Results from Phase 2 ASH clinical trial
Secure development partner/s for
IMM-124E for NASH/ASH
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