Financial Results for the Fiscal Year
Ending January 31, 2021
March 18, 2021
SanBio Company Limited
(TSE Mothers: 4592)
0
In the beginning...
SanBio observed its 20th Anniversary on February 21st, 2021.
Obtaining SB623 product approval and executing this market launch is our current top priority. However, we expect soon to broaden our focus to include many additional indications and countries, and to make SB623 widely available globally.
Further, to fulfill our mission of pioneering a new category of medicine, we will pursue innovative new drugs including SB623, in fields where there is
no effective treatment.
Table of Contents
1 2
Financial Results
SB623 Clinical Data
SB623 Japan Product Approval and Subsequent Developments
Going Forward
2
1. Financial Results
33
Consolidated Income Statement
While operating expenses were in line with FY2020.1, net loss narrowed due to the sale of investment securities,
Unit: Million yen | FY2020.1 Results (A) | FY2021.1 Results (B) | (B)-(A) | FY2021.1 Forecast |
Revenue | 447 | - | -447 | - |
R&D cost | 4,327 | 4,071 | -256 | 3,757 |
Operating expenses | 5,933 | 5,801 | -131 | 5,453 |
Operating income | -5,486 | -5,801 | -316 | -5,453 |
Net income | -5,157 | -3,386 | 1,771 | -5,544 |
Yen/US$ exchange rate | 109.08 | 106.34 | - | 110.00 |
4
Consolidated Balance Sheet
Cash and cash equivalents remained flat YoY due to the sale of investment securities
Unit: Million yen | As of January 31, 2020 (A) | As of January 31, 2021 (B) | (B)-(A) | Factors of Difference |
Cash & cash equivalents | 13,646 | 12,480 | -1,165 | |
Supplies | 469 | 444 | -25 | |
Current assets | 14,626 | 13,131 | -1,494 | |
Non-current assets | 979 | 211 | -767 | |
Total assets | 15,605 | 13,343 | -2,261 | |
Current liabilities | 1,175 | 2,469 | +1,294 | Increase in short-term loans payable and current portion of long-term loans payable |
Non-current liabilities | 3,500 | 2,525 | -975 | Decrease in long-term loans payable |
Total liabilities | 4,675 | 4,994 | +319 | |
Net assets | 10,930 | 8,349 | -2,580 | |
Total liabilities and net assets | 15,605 | 13,343 | -2,261 |
5
Consolidated Earnings Forecast
Operating expenses expected to remain on par with FY2021.1 levels, with preparations underway for SB623 Japan product approval and launch
Unit: Million yen | FY2021.1 Results | FY2022.1 Forecast |
Revenue | - | - |
R&D cost | 4,067 | 3,820 |
Operating expenses | 5,801 | 5,786 |
Operating income | -5,801 | -5,786 |
Net income | -3,386 | -5,877 |
Yen/US$ exchange rate | 106.34 | 110.00 |
6
2. SB623 Clinical Data
77
Neurology® Publication of STEMTRA Trial Results (Press Release, Jan. 5, 2021)
Primary endpoint:
Statistically significant difference in change from baseline in the Fugl-Meyer Motor Scale (FMMS) score observed at 6 months for SB623-treated group versus control group.
Secondary endpoints & safety assessment
Improvement from baseline in DRS (Disability Rating Scale), ARAT (Action Research Arm Test), GV (Gait
Velocity), and GRPC (Global Rating of Perceived Change) scores observed at 6 months.
No difference in adverse events between the SB623 group and the sham-surgery control group.
SB623 treatment was well tolerated, and no patients withdrew due to adverse events.
8
STEMTRA Trial Summary
Objective
Evaluating the efficacy and safety of SB623 in patients with stable chronic motor deficits secondary to TBI
Subject
At least 12 months post-TBI, and having chronic motor deficit
Patient eligibility criteria
⚫ Patients aged 18-75
⚫ At least 12 months post-TBI
⚫ Focal cerebral injury identified on MRITrial method ⚫ The trial included three SB623-treated groups (2.5×106, 5.0×106, and 10.0×106) and a sham-surgery control group, and subjects were randomized in a 1:1:1:1 ratio and observed for 12 months.
⚫ GOS-E Score of 3-6 (i.e., moderate or severe disability)
⚫
6-month, pre-specified interim analysis including primary efficacy endpoint of change from baseline in the Fugl-Meyer Motor Scale (FMMS) score for all patients who underwent surgery (N=61)
STEMTRA Trial Results
Primary endpoint (change in FMMS* score) achieved
Change of FMMS score from baseline was significantly higher for SB623-treated compared to control patients at 6 months.
Least square mean (SE):
8.3 (1.4) vs. 2.3 (2.5), p=0.04
Change of FMMS score from baseline at 1 and 3 months remained higher in the SB623- treated compared to control patients.
*FMMS: Fugl-Meyer Motor Scale
Responses to Neurology® Publication
The STEMTRA paper was featured in a Neurology® Editorial by neurology world authorities
Dr. Masha Savelieff and Dr. Eva Feldman, as well as in several other media
"Cell Therapy for Chronic TBI Shows Promise | Physician's Weekly (excerpt below)
In an accompanying editorial, Masha Savelieff, PhD, and Eva Feldman, MD, PhD, both of the University of Michigan in Ann Arbor, wrote that "STEMTRA used a targeted delivery of stem cells to the injury site, an approach further supported by the recent failed phase III clinical trial of non-targeted intrathecal injections in amyotrophic lateral sclerosis."
Potential advantages of allogeneic bone marrow-derived mesenchymal stromal/stem cell implants include no requirement for concomitant immunosuppression, readily available cells free of ethical concerns, and a low risk of malignant transformation, they pointed out.
"Therefore, in light of the lack of current TBI therapies, and if these positive findings hold at the study conclusion, " the results of this STEMTRA phase II trial would advocate a phase III trial," they said.
Stromal/stem cell implant improves motor function in patients with history of TBI (healio.com)
Stem cell implants show promise in chronic traumatic brain injury | Nature Reviews Neurology
Stromal/stem cell implant improves motor function in patients with a history of TBI - Brain Health Education and Research Institute
Presented at the Japan Society of Neurotraumatology (Press Release, Mar. 1, 2021)
"This is the first ever report that demonstrates the efficacy of intracranial administration of mesenchymal stromal cells in a double-blind, controlled study for motor dysfunction caused by traumatic brain injury, which previously had no effective treatment." (Dr. Kawabori's comment)
Feb. 26-27 44th Annual Meeting of the Japan Society of Neurotraumatology in Kagawa
• Presentation Date: Feb. 26, 2021 (Fri) / Session: Symposium 3: Brain Protection and Regenerative Medicine
• Keynote speech: Clinical trial results of intracranial administration of mesenchymal stem cells (SB623) to patients
suffering from chronic effects associated with traumatic brain injury (STEMTRA study) by Dr. Masahito Kawabori, Department of Neurosurgery and Neuronal Cell Therapy, Hokkaido University Hospital
3. SB623 Japan Product Approval and Subsequent Developments
Toward Filing for Japan Product Approval
Discussions are underway with authorities within the framework of the Sakigake designation system
In-person advice and preliminary interviewsProduct approval
• Regulatory agencies provide guidance and advice in response to requests from SanBio
• Aiming for early launch by making use of the conditional and time-limited approval system*
Comprehensive Sakigake evaluation consultation
NHI drug price listing
• Product approval filing will be approved when the authority determines that the review following the submission of the filing can be completed within 6 months
• Price is calculated using either the comparable drug method or the cost calculation method, but the method to be used is currently undetermined
Sales
• Preparation underway to promptly market the product after NHI Drug Price listing
The Pharmaceutical and Medical Devices Law, which came into effect on November 25, 2014, introduced an early approval system(approval with conditions and time limits). For regenerative medicine products that are not homogeneous, if safety can be confirmed and efficacy is presumed, the system allows approval for manufacturing and sales with conditions and time limits (from Article 23-26 of the Pharmaceutical and Medical Devices Law).
Looking Ahead After SB623 Product Approval
Japan launch preparation status
We will finalize the HC for the launch activities and details once the requirements for product approval (post-marketing surveys, promotion of appropriate usage guideline, etc.) are determined. We are currently working with our partners and municipalities to prepare to help TBI patients as quickly as possible.
Current status | |
Pricing | Prepare documents to negotiate for appropriate drug prices |
Review medical fees | Address the Japan Neurosurgical Society and Insurance Committee |
Build sales structure | Clarify the actual treatment circumstances, and develop strategies for each treatment phase based on the views of doctors and patients |
Develop strategies for regional activities centered on pre-surgery and post-surgery patient follow-up | |
Build logistics system | Prepare to implement R-SAT system with Suzuken |
Carry out activities to build logistics scheme in various communities | |
Create promotional materials | Prepare promotional materials and video content based on product marketing strategy |
Prepare content for product website | |
Build system for appropriate use | Collect scientific insights needed for appropriate use |
Establish qualification assessment system that leverages ICT | |
Prepare e-learning content needed for appropriate use after launch |
Current Status of Chronic TBI Medical Treatment (Japan)
1. There are no effective treatments for chronic TBI patients, and many stop going to the hospital (about 40% of patients do not get checkups at hospitals*1).
2. Not all doctors in all departments treat patients with chronic brain injuries.
3. The doctor seeing the patient and the doctor performing the cell transplant are different.
Orthopedics Dept.
Neurosurgery Dept.
Rehabilitation Dept.
Neurology Dept.
Other
(1) Number of doctors treating maintenance phase TBI patients
(2) Maintenance phase patient retention rate by dept.
(3) MD treatment rate by dept.
(4) 1+ year follow-up rateSource: M3 Data MHLW
Emergency designation (by dept.)
*1 SanBio Quantitative Head Trauma Survey (conducted in October 2020)
Critical Care Facility
DepartmentCorrected national values
Age group
Segment of patients visiting hospitals
100% of Chronic TBI patients
About Asian ExpansionEstablished first Asian subsidiary SANBIO ASIA PTE. LTD. in Singapore on February 1, 2021
Purpose of incorporation in Singapore ✓ To establish a global structure for SanBio by allocating appropriate personnel for manufacturing, distribution, and Asian expansion ✓ After Japan approval of SB623, the corporation will serve as a hub to expand business channels in the Asian region
Company profile
◆ Entity Name: SANBIO ASIA PTE. LTD.
◆ UEN: 202104096W
◆ Transaction Name: Incorporation of Local Company
◆
Transaction No.: C210074644
About Regenerative Medicine ✕ Asian Countries*1
We will introduce products at an appropriate time while checking the relevant laws for regenerative medicine in each country
Number of cases per year*2
Approved regenerative medical products
Relevant laws
Other
China | Korea | Taiwan |
TBI: 4 million people Ischemic stroke: 3.3 million people Hemorrhagic stroke: 1.4 million people | TBI: 160,000 people Ischemic stroke: 86,000 people Hemorrhagic stroke: 51,000 | TBI: 70,000 people Ischemic stroke: 36,000 people Hemorrhagic stroke: 16,000 people |
None | 16 products (13 autologous, 3 allogenic) | None |
No legislation specific to regenerative medicine *Priority approval review system is available. | Advanced Biotechnology Act (September 2020) | Cell and Gene Therapy Medicinal Product Management Act (TBD) |
By using the Hainan Advanced Zone Ordinance, research projects on cutting-edge medical technology can be developed and the approval time for imported drugs is expected to be shortened. | Domestic and foreign companies are expected to move into cellular and regenerative medicines, and the market is expected to expand in the coming years. | If the law for regenerative medicine is passed, the results of the Phase 2 trials may be used to obtain conditional approval like in Japan. |
*1 IQVIA survey (conducted in April 2020)
*2 World Population Prospects / The Lancet Neurology; Global, regional, and national burden of traumatic brain injury and spinal cord injury / GHDx Healthdata
4. Going Forward
Pipeline: Targeting Areas of Serious Unmet Medical Need
Agent | Indication | Research | Nonclinical | Phase 1 | Phase 2 | Pivotal | Regulatory Filing |
SB623 Chronic Brain Injury | Traumatic Brain Injury | Japan | |||||
U.S. | |||||||
Ischemic Stroke | Phase | 2b or 3 Trial Planne | d (Japan)*1 | ||||
Hemorrhagic stroke | Phase | 2b or 3 Trial Planne | d (Japan)*1 | ||||
SB623 Retinal Diseases | AMD (dry)*2 | Partne | ed with OcuMensio | n Therapeutics in C | hina | ||
Retinitis pigmentosa*2 | Partne | ed with OcuMensio | n Therapeutics in C | hina | |||
Other Nonclinical Programs | |||||||
SB623 | Parkinson's disease | ||||||
Spinal cord injury | |||||||
Alzheimer's disease | |||||||
SB618 | Peripheral nerve damage, etc. | ||||||
SB308 | Muscular dystrophy | ||||||
MSC1 | Cancer | ||||||
MSC2 | Inflammatory disease | ||||||
Optic neuritis*² | Partne | red with OcuMensi | n Therapeutics in | China |
*1 Clinical trials will begin from Phase 2b onward as safety has been confirmed in previous clinical trials for ischemic stroke and TBI programs. *2 Co-development with OcuMension (Hong Kong) Limited
SB623 Development Plans
Prioritizing Japan TBI program, followed by
Japan clinical trials for ischemic stroke and hemorrhagic stroke programs
Top priority
Traumatic brain injury (chronic phase) | Preparing for approval filling | Considering timing for starting clinical trials* |
Ischemic stroke | Plan to discuss initiation of clinical trials with PMDA | Planning clinical trials* |
Hemorrhagic stroke | Plan to discuss initiation of clinical trials with PMDA | Planning clinical trials* |
*Considering in-house development and partnership options
SanBio Taking on the Challenges for Transition: Becoming a Global Leader
Management team spearheaded by leaders with proven experience and expertise in their respective fields, fully-equipped with the functions needed to fuel the company's growth
CTOO
CMO
(Chief Technical Operations Officer)
(Chief Medical Officer)
Chris Horan
Bijan NejadnikBusiness Head (Japan/Asia) Hiroshi YamamotoManagement Administration Yoshihiro Kakutani
Corporate officers
SanBio Taking on the Challenges for Transition: Enhancing Senior LeadershipStrengthen the organizational foundation by actively recruiting experienced senior leaders who can support the executive team and lead the business
Head of Japan Regulatory Affairs and Quality Control (Supervisor General of Manufacturing and Marketing) Kazumi Sawaguchi
Ms. Sawaguchi plays a central role in the development of regulatory strategies in Japan and in dealing with authorities related to clinicaltrial consultations and applications as the Head of Regulatory Affairsin Japan. She became a Supervisor General in February 2021, whenthe Quality Compliance team and the Quality Assurance team were integratedinto the Regulatory Affairs department, and will handle regulatory affairs and quality matters to drive product launches in Japan.
Head of Clinical DevelopmentHiroyasu Narita
Mr. Narita is responsible for leading all clinical development activities in Japan in collaboration with key opinion leaders in the central nervous system, stem cell, and regenerative medicine communities in Japan. Together with the CMO, he will play a key role in designing clinical development strategies for each program and long-term strategies for the entire SanBio Group.
Becoming a Global Leader in Regenerative Medicine
In business for 20 years
SanBio observed its 20th Anniversary on February 21st, 2021.
As we all continue to cope with one type of public health challenge, our team at SanBio has been working on cell medicines which are also important to public health, beginning with traumatic brain injury (TBI), chronic stroke, and other central nervous system diseases, with the vision of making regenerative therapeutics a basic modality of modern medicine. Today we believe we are on the verge of our first product approval and launch, and are therefore committing with renewed determination to move our program forward.
Obtaining SB623 product approval and executing this market launch is our current top priority.
However, we expect soon to broaden our focus to include many additional indications and countries, and to make SB623 widely available globally. Further, to fulfill our mission of pioneering a new category of medicine, we will pursue innovative new drugs including SB623, in fields where there is no effective treatment.
Lastly, while we are still on our way to achieving our goal, we would like to thank everyone's support to date, which has enabled us to come this far. We - all of us at SanBio - will continue to strive to bring breakthrough medicines to help patients in need, and we very much appreciate your continued support.
Keita Mori, CEO
Disclaimer
This presentation material, including any comments made during or following the presentation, is provided solely for the purpose of reference to those investors who make their own evaluation of the company at their own risk. This material contains estimates, such as plans, strategies and judgments, that are forward-looking statements which are made based on management's assumptions and beliefs in light of the information currently available to it and may contain risks and uncertainty. Therefore you should not place undue reliance on them in making investment decisions.
SanBio cautions you that actual results may differ substantially from those discussed in this material due to various factors. We do not guarantee the accuracy or completeness of the information herein. Unless otherwise stated, estimates or forecasts are solely those of our company and subject to change without notice. We accept no liability whatsoever for any direct or consequential loss arising from any use of this report.
SanBio Company Limited
Management Administration
Contact:info@sanbio.jp
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SanBio Co. Ltd. published this content on 18 March 2021 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 18 March 2021 06:01:09 UTC.