Broker Briefing Presentation
Released
Released
Announcement PDF
Emyria (ASX:EMD)
Broker Briefing Webinar | Michael Winlo, CEO
Emyria develops biopharmaceuticals
guided by Real-World Data collected
with patients receiving care at our
clinics
1
Emyria is a biotech that, uniquely:
provides care, generates data & develops treatments
Care
Patients w
unmet needs +
new
treatments
5 clinical sites (Emerald Clinics) treating
more than 40 complex conditions in
>6,000 patients aged 2-98.
2
Emyria is a biotech that, uniquely:
provides care, generates data & develops treatments
Care
Data
Patients w
unmet needs +
new
treatments
Insights from
Real-World
Data (RWD)
5 clinical sites (Emerald Clinics) treating
more than 40 complex conditions in
>6,000 patients aged 2-98.
One of the largest patient registries of
ethically sourced Real-World Data (RWD)
on treatment effects of GMP-grade
cannabinoids to guide biopharmaceutical
development.
3
Emyria is a biotech that, uniquely:
provides care, generates data & develops treatments
Care
Data
Treatments
Patients w
unmet needs +
new
treatments
Insights from
Real-World
Data (RWD)
Proprietary
drug design +
global
registration
5 clinical sites (Emerald Clinics) treating
more than 40 complex conditions in
>6,000 patients aged 2-98.
One of the largest patient registries of
ethically sourced Real-World Data (RWD)
on treatment effects of GMP-grade
cannabinoids to guide biopharmaceutical
development.
2 FDA-compliant drug development
programs seeking registration with major
global regulators. More in development.
4
Emyria’s active clinical development programs
Active programs
Platform
Ultra-pure
cannabinoidbased medical
treatments
(CBMTs)
EMD-RX5
Low-dose CBD for
multiple indications
EMD-RX7
High-dose CBD for
multiple indications
Initial opportunities
Over-the-counter treatment
for psychological distress
$200m/yr (Australia alone)
See ASX Announcement 19 October 2021
[1] https://www.coherentmarketinsights.com/market-insight/post-traumatic-stress-disorder-treatment-market-4433
Next 3-6 months
* Complete pivotal trials
* TGA registration application
* New formulations
* Launch US registration
programs
5
Emyria’s active clinical development programs
Active programs
Platform
Ultra-pure
cannabinoidbased medical
treatments
(CBMTs)
Next-generation
MDMA analogues
EMD-RX5
Low-dose CBD for
multiple indications
EMD-RX7
High-dose CBD for
multiple indications
MDMA
analogues
Screen and expand
library of novel MDMA
analogues
Initial opportunities
Over-the-counter treatment
for psychological distress
$200m/yr (Australia alone)
See ASX Announcement 19 October 2021
Eg. Advanced treatment +
assisted therapies for PTSD
US$990m / yr (Global) [1]
Next 3-6 months
* Complete pivotal trials
* TGA registration application
* New formulations
* Launch US registration
programs
* Advanced compound screening
* Commence animal studies
* Expand library
* Additional IP filings
See ASX Announcement 19 October 2021
[1] https://www.coherentmarketinsights.com/market-insight/post-traumatic-stress-disorder-treatment-market-4433
6
Biopharmaceutical
cannabinoid development
1
Learn from real-world patients
2
Create high-performing dose form
3
Pursue global registration
7
1
Learn from real-world patients
Emyria has Real-World Data with 6,000 patients (+ growing)
What dose?
What problem?
Which patients?
0-1,200 mg
0-197 mg
Range of daily CBD prescribed
Range of daily THC prescribed
7.12
Average concomitant medications
per patient at initial visit
53%
54%
Unique primary indications
Patients presenting with symptoms
of depression
Patients presenting with symptoms of
moderate to severe anxiety
2 - 98 years
56%
age range of patients
female patients
44
Data summary as of 28 FEB 2022
35%
Patients experiencing an adverse
event
8
2
Create a high-performing dose
form
Plants have inspired 40% of registered medicines
Medicine
“1.0”
“2.0”
Natural origins
First medical use
Statins
Pleurotus ostreatus
(oyster mushroom)
Aspirin
Salix alba
(white willow)
1970’s
First discovered
~400 BCE
First prepared as a tea
“3.0”
Trials & registration
1987
Synthetically
developed
1899
https://www.fiercepharma.com/pharma/from-old-behemoth-lipitor-to-new-king-humira-u-s-best-selling-drugs-over-25-years
True pharmaceutical
Commercialisation
status
US$95bn lifetime
sales of Lipitor
alone
US$750M USD for
“aspirin cardio”
alone in 2020
9
2
Create a high-performing dose
form
Medicinal cannabis stuck at “2.0” - registered biopharmaceuticals
reach more patients
Medicine
“1.0”
“2.0”
Natural origins
First medical use
Statins
Pleurotus ostreatus
(oyster mushroom)
Aspirin
Salix alba
(white willow)
Cannabis
Cannabis sativa
(cannabis)
1970’s
First discovered
~400 BCE
First prepared as a tea
“3.0”
Trials & registration
True pharmaceutical
1987
US$95bn lifetime
sales of Lipitor
alone
Synthetically
developed
US$750M USD for
“aspirin cardio”
alone in 2020
1899
~8000 BCE
First medicinal use
documented
https://www.fiercepharma.com/pharma/from-old-behemoth-lipitor-to-new-king-humira-u-s-best-selling-drugs-over-25-years
Commercialisation
status
Emyria’s novel
synthetic delivery and
drug development
programs target
multiple indications
Initial targets:
mental health,
insomnia and pain
10
2
Create a high-performing dose
form
Oral CBD has poor bioavailability - as low as 6.5%!
Ingested
drug
Stomach /
intestine
Gut wall
Gut
wall
Liver
Liver
Dissolved drug
Absorbed drug
Drug in portal vein
Available
drug
(~6.5mg)
100mg
Undissolved drug
Non-absorbed
drug
Metabolised by
liver
Unavailable
drug
(~93.5mg)
https://www.tga.gov.au/sites/default/files/auspar-cannabidiol-210115.pdf
11
2
Create a high-performing dose
form
Emyria’s proprietary CBD formulations enhance bioavailability
Diagram on right
shows
concentrations of
CBD in the blood for
3 different
formulations as
measured over a 24
hour period in an
animal model. Each
formulation
contained the same
amount of CBD 50mg - but clear
differences in
bioavailability are
apparent. [1]
EMD-RX7 (~4x BA)
EMD-RX5 (~2.2x BA)
Higher bioavailability means:
●
more CBD available in
bloodstream
●
more cost effective
dosing
Epidyolex (world’s only registered CBD medicine)
12
[1] See ASX announcement 17 March 2022
2
Create a high-performing dose
form
Emyria’s ultra-pure CBD
vs comparators
Emyria is developing a novel cannabinoid
delivery platform with leading North
American contract drug manufacturer
Altasciences (See ASX Announcement 13
August 2021)
Feature
Biological action
Emyria’s proprietary formulation
Botanical alternatives
Synthetic CBD has equivalent physiological effects to botanical CBD [1]
Regulatory
considerations
FDA Drug Master File for API.
Acceptance from major regulators
Most CBD oils do not meet FDA
requirements for CBD purity (with
exception of Epidyolex)
Chromatographic purity
(low level, ppm)
●
Delta-9-THC
●
Delta-8-THC
●
Sum (D8,D9)
No detectable THC
Synthetic API
●
< 4 (*ND)
●
< 4 (*ND)
●
< 4 (*ND)
THC present
Epidyolex
●
224
●
84
●
328
Enantiomeric purity
by HPLC
●
(-)-CBD
●
(+)-CBD
Ultra-pure
Synthetic API
●
100%
●
0.00%
Epidyolex
●
99.9%
●
0.08%
Enhancing bioavailability
Emyria technology achieves
~1.5-2x greater (c/w Epidyolex)
Generally poor BA.
Sesame oils > MCT oils
Intellectual property
100% Emyria-owned
Generic oils - limited IP
Costs
Cost effective over long-term
Plant extraction expensive
1. Maguire R, F, Wilkinson D, J, England T, J, O’Sullivan S, E: The Pharmacological Effects of Plant-Derived versus Synthetic Cannabidiol in Human Cell Lines. Med Cannabis
Cannabinoids 2021. doi: 10.1159/000517120
13
EMD-RX# programs:
Ultra-pure CBD targeting multiple indications
14
15
16
First indication: Psychological distress - a growing challenge
Symptoms of psychological distress
~15% of Australian adults
experience high or very high levels
of psychological distress [1].
Prevalence is increasing. [2]
Current treatments may include
monitoring, psychotherapy,
prescription medications or referral
to support services. [3]
Anxiety
Depression
Sleep
disturbance
Stress
Pain
Gastrointestinal
complaints
More prevalent in patients with chronic disease
[1] Australian Institute of Health and Welfare 2018. Australia’s health 2018. Australia’s health series no. 16. AUS 221. Canberra: AIHW.
[2] https://www.frontiersin.org/articles/10.3389/fpsyt.2020.595696/full
[3] https://onlinelibrary.wiley.com/doi/pdf/10.1111/scs.12289
There is no over-the-counter
treatment for psychological
distress.
17
EMD-RX5: Over-the-counter CBD for psychological distress
Registered, “over-the-counter” (OTC) treatments can improve patient access:
-
do not require a doctor’s prescription
can be purchased directly from qualified pharmacists
There are 5,900 pharmacies in Australia [1] and OTC market is estimated at over $20B/year [2].
The TGA permits low-dose cannabidiol (CBD) to be registered as Schedule 3 (S3) OTC medicine. [3]
S3 cannabinoid medicines could generate an estimated $200m in Australia, much more globally. [4]
Emyria plans to register one of the first, affordable, cannabinoid S3 medicines (EMD-RX5)
EMD-RX5 will initially target psychological distress but poised to expand to adjacent indications
[1] https://www.guild.org.au/__data/assets/pdf_file/0020/12908/Vital-facts-on-community-pharmacy.p
[3] See ASX announcement 16 December 2021
[2] https://insights10.com/product/australia-otc-market-analysis
[4] https://freshleafanalytics.com.au
18
EMD-RX5: Real World Data (RWD) guides indication selection
Care
Data
Emyria clinicians have already prescribed
low-dose CBD for psychological distress for
600+ patients over 6+ months
RWD analysis reveals specific dose-responses,
for a specific set of symptoms, in a specific
patient population
Treatments
Emyria’s RWD supports an end-to-end
EMD-RX5 registration program and
patents (slide 27)
600+ patients
[1] Australian Institute of Health and Welfare 2018. Australia’s health 2018. Australia’s health series no. 16. AUS 221. Canberra: AIHW.
[2] https://www.frontiersin.org/articles/10.3389/fpsyt.2020.595696/full
[3] https://onlinelibrary.wiley.com/doi/pdf/10.1111/scs.12289
19
EMD-RX5: Rapid clinical development progress
1
✔
Formulation design
● Synthetic CBD (full DMF)
● FDA-approved excipients
● FDA-compliant CBD
purity (c/w TGA purity
requirements)
● Capsule dose form
● Reliable dosing
● Stable at room temp
● Increased bioavailability
● Cost effective
● Unique IP
✔
2
3
Preformulation studies
● Dissolution studies
● Qualification of formula
● Excipient testing with
validated method
● = Leading formulations
evaluated in pre-clinical
PK study
✔
Dog PK study
● Comparison to Epidyolex
● Full PK assessments (eg
Tmax, Cmax, AUC, AEs)
● = EMD-RX5 appears to
have superior
bioavailability compared
to Epidyolex [1]
Commences March
4
Phase 1
(dosing March, 22)
● Ethics approval [2]
● 12 subject, HNV
● 2-way crossover
(Epidyolex + EMD-RX5)
● Pivotal
Phase 3
clinical
trials are
fully
planned
✔
ICH-GMP-compliant manufacturing
[1] See ASX announcement 15 December 2021
[2] See ASX announcement 03 March 2022
20
EMD-RX#: What’s next? New indications. More formulations.
1
Ongoing RWD collection &
analysis
●
●
Dose-response insights on
>6,000 patients and growing
Long-term AE monitoring
Helps inform:
●
Additional indication selection
●
Pivotal study designs (eg.
endpoint selection)
●
Dose form preferences
2
Proprietary dose-form
development
3
Launch drug registration
programs
●
EMD-RX5 (multiple indications)
○
Distress
○
IBS
○
Others
●
EMD-RX7 (multiple indications)
●
Others in development
Develop a range of unique dose forms:
●
CBD-only
●
CBD/THC combinations
21
Cannabinoid program development milestones
Commence and complete
pivotal registration clinical
trials
EMD-RX5
Phase 1
trial
Obtain
ethics
approval
Clinical
trial
material
available
Q1
New formulations +
programs
EMD-RX7
Phase 1
trial
Prepare product
dossier and submit to
TGA for registration
Commercialisation
Obtain
& sales
Schedule 3
registration
IND with FDA (for
US registration
programs)
First commercial sales as
over-the-counter,
Schedule 3 medicine
Complete full product dossier
and clinical evidence package for
evaluation by TGA. Expected ~2
months from trial completion.
EMD-RX5 Phase 3
clinical trial
Q2
Q3
2022
TGA evaluation
(takes 6-8 months
from submission)
Entry on Australian
Register of Therapeutic
Goods (ARTG) as a
Schedule 3 medicine
Q4
22
Leading next-generation
psychedelic development
23
Psychedelic-assisted therapy addresses major unmet needs and is
attracting large investment
$
$100b
Estimated market for
psychedelic medicines
264m
Number of people who suffer
depression globally
$10.2b (AUD)
Aggregate market cap of
psychedelic drug companies
2 in 3
Veterans suffer from PTSD
1 in 4
People in the world are affected
by mental health disorders
Emyria to leverage clinical network, data infrastructure and drug
development expertise to lead innovation
Care
Data
Treatments
24
MDMA
MDMA analogue development
25
Emyria’s MDMA analogue library - a drug discovery pipeline
MDMA as
inspiration
Growing library
(100+ proprietary
analogues)
Screening
Partnership with
Treatment
development
Next-gen MDMA
Proprietary analogue library
●
●
●
●
●
? safety
? prosocial potency
? faster acting
? peripheral effects
etc
Neuropsychiatric
treatments
Non-neurological
treatments
26
Emyria’s MDMA analogue library - a drug discovery pipeline
Partnership with
Emyria’s MDMA analogue library
Key features
●
●
●
●
●
>100 unique MDMA analogues, and growing [1]
>10 years of development at UWA
Entire library exclusively optioned to Emyria
Verified excellent purity and stability
Potential as treatments for:
○
Next-gen psychedelics, neurological disorders
+ other conditions
Progress to
date
1.
No “off-target” effects in first screen (~66 compounds)
[2]
First patent family filed
Library expansion underway
University of Sydney approached to develop animal
models [2]
NEXT: Further expansion, screening and evaluation
2.
3.
4.
5.
[1] See ASX announcement 05 August 2021
[2] See ASX announcement 08 December 2021
27
Emyria’s clinical research
28
EMDMA-001: a Phase IIa trial for PTSD with advanced monitoring
Drug treatment + non-drug psychotherapy
Screening
Preparation
Cycle 1
Cycle 2
Cycle 3
Follow-Up
The study will be led by
consultant psychiatrist
Dr Eli Kotler (left), and
will be run out of the
Victorian Counselling
and Psychology
Services in Melbourne
(below)
Duration = 18 months
EMDMA-001 to evaluate potential of MDMA-assisted therapy for additional patients.
Will involve advanced remote monitoring technology with partner Cydelic [1].
Protocol completed and clinical psychologists have completed
well as Certificate of Psychedelic-Assisted Therapies (CPAT)
partner, Mind Medicine Australia (MMA).
training as
with
29
[1] See ASX announcement 20 December 2021
Emyria’s growing patent portfolio
Emyria’s
cannabinoid
patents cover
unique
formulations,
delivery
approaches and
“method of use”
Title
Official No.
Status
Use of Cannabidiol for the Treatment of Psychological Distress
2020904152
Provisional filed
Use Of Cannabidiol for the Treatment of Psychological Distress
2021901086
Provisional filed
Use Of Cannabidiol for the Treatment of Irritable Bowel Syndrome-Related Psychological Distress
2021901672
Provisional filed
Use Of Cannabinoid Combination for the Treatment of Irritable Bowel Syndrome-Related
Psychological Distress
2021901674
Provisional filed
Cannabidiol Dosing Regime
2021902001
Provisional filed
Cannabinoid Dosage Form
2022900479
Provisional filed
Analogues
2021903836
Provisional filed
Others in development covering unique delivery platforms, dose responses and clinical indications
Multiple provisionals expected 2021
30
Corporate structure
31
Board has multiple drug registrations, deep biotech experience
Dr Stewart Washer
Chairman & Founder
Prof Sir John Tooke
Non-Executive Director
Dr Karen Smith
Executive Director
> 100 clinical trials & 20 FDA approvals
Matt Callahan
Non-Executive Director
4 FDA approvals
Dr Alistair Vickery Smith
Medical Director, Specialist GP
Dr Michael Winlo
Managing Director
32
Capital structure
Share price over 12 months
Top 20 = 60.48% | Tattarang holds ~5% [1]
Director ownership = 27.17%
Key Metrics
Value
Shares on issue
254m
Last close ( 26 Oct 2021)
A$0.33
Market Capitalisation (26 Oct 2021)
A$90.75M
Cash (31 Dec 2021)
A$8.7m
Debt (31 Dec 2021)
-
Enterprise value
A~$82.05m
Total options (exercise price $0.114-0.45)
expiring. 2022-24
62m
Source: https://emyria.com/for-investors/#Stock-Information
[1] See ASX announcement 22 November 2021
33
Emyria positioned for growth
1
World-class
Board/Management with
FDA registration successes
2
In-house expertise in drug
development, clinical trials and drug
registration
4
Unique biopharmaceutical
cannabinoid platform
Ultra-pure CBD dose form,
FDA-compliant and with bioavailability
advantages
Proprietary data, access to
clinics and patients
3
One of the largest Real World Data
assets on cannabinoid treatments
guiding clinical development programs
5
Leader in development of
novel MDMA-analogues
Exclusive access to large and novel
MDMA analogue compound library
Targeting major markets
and unmet needs
Multiple clinical programs targeting
major, unmet needs
6
Attractive valuation
Compared to industry vertical peers
34
Contact Information:
Michael Winlo:
Investors:
Media:
General:
mwinlo@emyria.com
investors@emyria.com
media@emyria.com
info@emyria.com
35
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