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Bone Medical Ltd
Technical Report
15 June 2004
The Directors,
Revenir Limited
Level 2, Troika House
129 Melville Parade
COMO
WA 6152
AUSTRALIA
Dear Sirs,
As requested we have reviewed information on the
technologies addressing treatments for musculo-skeletal degeneration
and disease that comprise the portfolio of Bone Limited. Bone Limited,
a company registered in the British Isles, intends to develop and commercialise
these technologies through a restructuring and capital raising in Australia.
The purpose of this report is to provide an independent opinion on
the technologies for inclusion in an Explanatory Memorandum to shareholders
of a target shelf company and/or in a Prospectus issued to new investors.
To complete our analysis we have assessed the technologies licensed in
by Bone Limited, the Company’s business strategy, the markets addressed
by the technology and the Company’s ability to access and satisfy
these markets in a reasonable time.
BONE LIMITED PORTFOLIO
Bone Limited’s portfolio addresses the high volume, chronic markets
of treatments for bone and joint diseases. Musculoskeletal disease is
the most frequent cause of disability worldwide, and is estimated to
cost about US$250 billion to treat in the US alone1.
Bone and joint diseases account for 50% of all chronic conditions in
people over 50 years and this market will increase with the ageing population
and associated increases in osteoporosis and other diseases. There is
also increased awareness and demand for health products to support more
active lifestyles. The Company’s portfolio is underpinned by three
innovative technologies that address the oral delivery of peptides and
proteins, vaccination via the oral route and effective discovery of novel
drug entities.
The product pipeline is composed of 7 core project areas and is fairly
well balanced in terms of time to market and risk profile. It includes
two short-term, medium risk projects to develop oral formulations of
the existing peptide drugs, calcitonin and parathyroid hormone (PTH).
These are the most important projects for Bone Limited at this stage,
providing the potential for an income stream to support the rest of the
work. If both of these are successful they will be combined in a third
product. A lead anti-TNF product has been identified in a fourth project.
This is now completing laboratory testing which, if successful, will
be followed by pre-clinical testing for safety and efficacy in animals.
The risk is still high for this project, as most potential therapeutics
fail at the pre-clinical and early clinical stages. However, if successful,
this anti-TNF product will generate licensing opportunities in the medium-term
and follows the oral calcitonin and PTH therapeutics in the Company’s
product pipeline. The remaining projects are still at the early discovery
stage, and although the technology platforms on which they are based
are sound and potentially powerful, they will be relatively long-term
and involve the high level of risk with which therapeutic discovery projects
are always associated.
ORAL DELIVERY OF PEPTIDES AND PROTEINS
Axcess Oral Delivery Technology
Bone Limited’s Axcess technology underpins the potential of its
oral calcitonin and PTH products. The therapeutic use of peptides and
proteins is still limited by the lack of convenient methods for their
effective delivery. The central issues for oral delivery of peptides
and proteins are breakdown of the drug before it can be absorbed, and
the efficiency of absorption. Unless the drug can be efficiently absorbed
in an active form, oral administration becomes impractical and expensive,
and to date low bioavailability has limited the potential of these products.
As a result most therapeutic proteins are currently available only as
preparations which require repeated injections because of their extremely
short biological half-life. This represents a serious drawback for patients,
and a major opportunity for successful oral formulations.
The Axcess oral delivery technology is based on the use of aromatic alcohols
as absorption enhancers. Their mode of action is not fully elucidated,
but they may enhance transmission across the cell membrane and/or open
up the tight junctions between intestinal cells, allowing passage of
the drug contained in the delivery vehicle across the cell barrier and
into the bloodstream. These compounds have been used clinically for many
years as non-toxic formulation aids, but have not previously been recognised
to enhance oral absorption. As the compounds involved are already listed
in the pharmacopoeia of Western countries and Japan, their use involves
minimal regulatory compliance. Importantly, the formulation does not
involve the chemical interaction of the delivery vehicle with the active
protein, and so does not include a new chemical entity. This is a major
advantage both in terms of time and of cost to market, as it is only
necessary to demonstrate equivalence with existing formulations to satisfy
the regulatory bodies.
However, Bone Limited’s technology platform does face strong competition.
Transdermal and respiratory routes can be used for delivery of peptide
and protein-based drugs, and the demand for effective delivery of proteins
by the oral route has brought a tremendous thrust in recent years both
in the scope and complexity of drug delivery technology. Some technologies,
such as that developed by Nobex Corporation in which low molecular weight
polymers are attached to the active drug, involve the generation of new
chemical entities. Such products face a full development and regulatory
track, and are at a competitive disadvantage compared with the Bone Limited
products. Others, like that of Emisphere Technologies Inc.2 and
Unigene3, have attracted
considerable interest from major multinational pharmaceutical companies
and are involved in development of similar products to those of Bone
Limited.
Target markets
Osteoporosis
Bone Limited’s oral calcitonin and PTH products target the large
and growing osteoporosis market. Osteoporosis is a degenerative skeletal
disorder in which a loss of bone mass and deterioration in the bone microarchitecture
lead to an increase in bone fragility and fracture risk. In the seven
major pharmaceutical markets there is currently an estimated population
of more than 127 million men and postmenopausal women with osteoporosis;
about 80% of the patients are women. Treatment is based on the prevention
of bone resorption or the stimulation of bone formation and remodelling.
Almost all the drugs on the market are biphosphonates, selective oestrogen
receptor inhibitors or calcitonins, and inhibit bone resorption. A single
parathyroid hormone derivative is available to stimulate bone formation.
Combination of these two approaches is not straightforward, and to date
no combined therapeutics have been developed.
The osteoporosis market was worth US$5 billion in 2003 and is estimated
to increase to US$10.5 billion by 2011, an annual growth rate of 10%.
A key factor in market growth is the increasing awareness of osteoporosis
among both patients and physicians, and an improvement in the rate of
diagnosis. The market has significant clinical unmet needs, including
drugs with improved efficacy in the reduction of fractures, delivery
regimens that enhance patient compliance, and more drugs with bone forming
activity. Several products currently in the late stages of development
will be launched between 2004 and 2007. They will address these needs
to some extent, and are expected to contribute US$4.7 billion towards
market value by 2011.
Paget’s disease
Paget’s disease has a low prevalence under the age of 40 but is
the second most common bone disorder after osteoporosis in the geriatric
population4. It is an
incurable chronic disease characterised by abnormally high rates of bone
turnover and resulting in large, deformed bones. It has a strong geographical
distribution pattern, with the highest overall prevalence of 2% in the
UK, and is estimated to affect 1-3 million people in the US. It is very
rare in the Middle East, Africa and Asia. Treatment rates are relatively
low, as many patients are asymptomatic. Bisphosphonates and calcitonins
are used to treat the symptoms.
Oral calcitonin project
Calcitonin is a peptide hormone that inhibits bone resorption by blocking
the activity of specialised bone cells known as osteoclasts. This modifies
the natural balance between calcium deposition in the bone, performed
by osteoblasts, and bone resorption in favour of the former, resulting
in moderate increases in bone density. Salmon calcitonin is much more
potent than the human hormone, and is the form most frequently used therapeutically.
It is used to reduce vertebral fractures and bone pain in osteoporotic
patients as well as for the treatment of Paget’s disease and hypercalcaemia,
and has been reported to have some analgesicanalgaesic effect. In this
area patient compliance is a major factor impacting on present treatment.
It is estimated that 15-30% of patients are non-compliant with their
daily injection therapy within 12 months of initiating drug treatment5,
and novel drug delivery methods will be an important factor in driving
market penetration. Oral delivery is regarded as the safest, most convenient
and most economical method of drug administration, and patient acceptance
and compliance are typically higher when medicines are delivered orally.
Approaches currently being applied to the development of oral calcitonins
include the use of enteric coatings, additives that modulate intestinal
proteolytic activity, and a caprylic acid derivative which facilitates
transport across the membrane of the small intestine. In one product
under development, the calcitonin is chemically linked to small polymers.
Calcitonin market
The osteoporotic patient base is highly segmented, and other classes
of drugs represent major competition for calcitonins, which despite their
excellent safety profile are being recognised to have relatively limited
therapeutic potential. In 2003 the biphosphonates, which like oestrogens
have been shown to result in a greater increase in bone density than
calcitonins, commanded 70% of the market. The leading therapeutic in
this group (Fosamax), with indications for postmenopausal, male and glucocorticoid-induced
osteoporosis, had sales of US$2.2 billion in 2002. Calcitonins, which
are most effective in osteoporosis patients with a high rate of bone
turnover, represented only 7.4% of sales, generating US$373 million.
According to IMS6, sales
are predicted to rise by approximately US$57 million by 2006, largely
due to increased sales in the US, but are likely to decline in Europe
largely because of cost containment issues. Datamonitor takes a longer
term view and predicts a decline to 3.2% of the overall market in 2011,
with sales of US$337 million, largely because of the advent of more effective
drugs with higher fracture reduction efficacy7.
Calcitonins are also used for other indications, including Paget’s
disease and hypercalcaemia, and the overall world-wide calcitonin market
currently generates US$700 million8 annually.
Calcitonin products face continuing competition from the biphosphonates,
one of which is now available in a highly convenient weekly oral dosage
form. Most calcitonins are injectables, but a nasal spray marketed by
Novartis (Miacalcin) has captured more than 50% of the market because
of its easier and more convenient method of administration. An effective
oral formulation will not necessarily significantly expand the osteoporosis
market for calcitonins, but will encroach on sales of calcitonins currently
delivered by injection or nasal spray. Novartis, using technology licensed
from Emisphere, has an oral formulation of calcitonin in late-stage development.
The Novartis drug successfully completed Phase IIa trials in Europe in
February 20039. An Elan
Corporation/Nobex joint venture also has an oral calcitonin in Phase
I trials10. These are
potentially directly competitive with Bone Limited’s product, and
Bone’s ability to license its product and penetrate the market
will depend crucially on the competitive edge of its technology in terms
of time to market and cost.
The cost to the patient of Miacalcin (200 iu once daily) is not significantly
different from that of Fosamax, at about $2/day11.
However, calcitonin is relatively expensive to produce and cost and profit
margins may be an issue for oral delivery if bioavailability by this
route proves to be low.
Development status
Validation for Bone Limited’s oral delivery platform has recently
been achieved using insulin in human subjects, though acceptable variation
in response between patients has yet to be demonstrated. Preclinical
studies with salmon calcitonin have been completed in pigs, demonstrating
delivery of the peptide into the blood stream and associated falls in
plasma calcium levels after introduction directly into the small intestine.
Phase I/IIa studies in human subjects to demonstrate bioequivalence with
the existing nasal formulation began in March 2004 in the UK. On the
basis of the preclinical data Bone Limited believes that its oral delivery
vehicle will be clinically effective and commercially viable. As this
is composed entirely of registrable components and does not involve a
new chemical entity, clinical trials will only require the demonstration
of equivalence to formulations already on the market. This is a relatively
rapid and cost-effective route to market for a pharmaceutical.
Oral parathyroid hormone (PTH) project
Parathyroid hormone is a protein that increases the number and activity
of osteoblasts, the bone forming cells. The full-length hormone and the
active peptide 1-34 stimulate bone remodelling, and this is the only
therapeutic approach of this type currently available to osteoporosis
patients. Clinical trials have shown PTH to be more effective than any
other therapy. Daily injection has resulted in a 66-90% decrease in vertebral
fractures and about a 50% drop in non-vertebral fractures.
PTH market
PTH is the most novel osteoporosis treatment on the market. In 2003 the
market size for PTH was US$95 million, but it represents one of the top
five R&D products for osteoporosis in terms of forecast revenue by
2011. By then the market for PTH is expected to be US$1.484 billion,
an annual growth rate of 41%12.
The first and at present the only product in this class, an injectable
formulation of peptide 1-34, was launched in 2002 by Eli Lilly with severe
osteoporosis patients at high risk of fracture as the target market.
Two further injectable PTH products are currently in Phase III trials.
There are some drawbacks to PTH therapy. It is expensive, and is associated
with identified side-effects including the risk of hypercalcaemia and
orthostatic hypertension. It is also currently subject to a limited recommended
treatment duration of 12-24 months, and there is not yet good evidence
of retention of the bone gain once therapy has ceased. Moreover, at the
moment PTH is only available as an injectable. There is a clear unmet
need for bone-building agents for the much larger market of patient populations
with less severe disease. Competitive positioning to access this market
will require more patient-friendly dosing formulations, such as the oral
PTH fragment 1-34 under development by Bone Ltd, and it is considered
that oral anabolic drugs would be a valuable development in the treatment
of osteoporosis.
Eli Lilly is in partnership with Inhale Therapeutics and Emisphere to
develop inhaled and oral formulations of PTH, which are expected to increase
patient and physician acceptance and contribute significantly to market
growth. A pilot study on the inhaled formulation published in May 2003
gave promising results. GlaxoSmithKline is also developing an oral PTH
analogue with Unigene, which is about to enter Phase I trials. These
will be directly competitive with Bone Limited’s oral PTH. A potential
threat to the predicted growth of the PTH market is presented by a new
class of drugs, the calcilytics, also under development by GlaxoSmithKline
under a licensing agreement with NPS Pharmaceuticals Inc. However, these
are in early stage development with a lead compound still to be identified13.
Development status
Preclinical studies in rhesus monkeys of Bone Limited’s oral PTH
in tablet and capsule forms have been completed by a major pharmaceutical
company. Plasma PTH and calcium levels increased with both formulations,
but higher PTH concentrations were achieved with the tablets. The Company
is progressing to Phase I trials in humans, to be conducted in Australia
during 2004.
Oral combination project
In theory this represents a very sound approach, combining the activation
of osteoblasts with the inhibition of osteoclasts, thus stimulating bone
building while reducing its resorption. However, attempts to combine
other therapeutics in this way have indicated that it is not a simple
matter, and the outcome is not necessarily predictable.
Market for oral combined product
There is no current therapeutic combination that offers stimulation of
bone building together with inhibition of resorption. The market for
such a combination would depend crucially on its efficacy. An effective
combination could attract a significant share of the osteoporosis market,
which was worth US$5 billion in 2003 and is estimated to increase to
US$10.5 billion by 2011, an annual growth rate of 10%.
Development status
Development of this project will await proof of concept in humans for
the oral formulations of the individual components. Development is likely
to be much more complex than a simple combination of the components,
requiring optimisation of the balance between the drugs. This will be
followed by the full development and regulatory pathway for a new therapeutic,
involving major clinical trials.
DRUG DISCOVERY
Mozaic drug discovery technology
Bone Limited’s Mozaic drug discovery technology, known as ‘combinatorial
proximity’, is used to identify new ligands binding to receptors
on the cell surface. Binding activity is displayed on the 2-dimensional
surface of a fluid mosaic and, because it does not rely on chemical interaction
and the potentially interfering effects of chemical linkers, is reportedly
more powerful and more efficient than conventional combinatorial chemistry.
Osteoblast and osteoclast regulator
projects
Calcitonin and PTH are osteoclast and osteoblast regulators. This project
aims to identify new therapeutics to target the same market.
Market for new bone cell regulators
The osteoporosis market (see above), though large and growing, is strongly
segmented, and the market for a new drug will depend on its properties.
Development status
A probe library that affects cell signalling in osteoblasts has been
identified, but this is still a very early stage discovery project. Work
on osteoclast regulators began at the start of 2004 and further work
is due to be conducted in collaboration with a Melbourne group with an
international reputation in this field.
TNF regulators project
Tumour necrosis factor-α (TNF) is a major mediator of inflammation,
and is known to be key to the pathogenesis of rheumatoid arthritis.
Market for TNF regulators in
arthopathies
TNF regulators developed by Bone Limited will target certain inflammatory
diseases of bone and joints. The main target market is treatment for
rheumatoid arthritis, a severely incapacitating autoimmune disease with
a severe and chronic inflammatory component. The prevalence of rheumatoid
arthritis varies significantly between different geographic regions14,
but in most industrialised countries lies between 0.3% and 1%15.
In Japan and China, however, the incidence is low16.
Rheumatoid arthritis RA is estimated to affect more than 2-2.5 million
patients17, predominantly women, in
the US alone, and over 9 million patients worldwide18.
In the US, more than 53% of rheumatoid arthritis patients are aged 65
and older19, and this market, like
that for osteoporosis treatments, is therefore not only large but also
expanding as the population ages. Although inflammation is also involved
in osteoarthritis, the other prevalent form of arthritis with a drug
market worth 3.5 billion in 200220,
the detailed causative mechanism of osteoarthritis is still unknown and
anti-TNF treatment is not currently considered an option for this disease.
The spondyloarthropathies, however, are targets for anti-TNF therapy.
These are chronic inflammatory diseases involving part of the skeleton,
with a known genetic component, and usually found in young to middle-aged
adults. They are found in 0.1-0.2% of the US population. Incidence of
ankylosing spondylitis, the most prevalent of these diseases, increases
with distance from the equator; its overall prevalence is 0.1-1% of the
general population. Many of these patients are asymptomatic however,
and the market is much smaller than for rheumatoid arthritis.
Treatment of rheumatoid arthritis is shifting towards the earlier use
of drugs that modify the disease rather than merely reducing the symptoms.
These include TNF antagonists, and anti-TNF antibodies and a soluble
TNF receptor are currently being used to treat rheumatoid arthritis.
These treatments reduce inflammatory swelling and pain, as well as bone
damage when used over the longer term, and have been found to be of significant
benefit to approximately 70% of rheumatoid arthritis patients21.
An important side-effect is that patients receiving such treatment could
become more susceptible to infection. Moreover, these drugs are very
expensive, treatment costing US$11,000-16,000 per annum22,23.
Nevertheless, one of the antibodies (Remicade) achieved sales of US$1,513
million and sales of the soluble receptor (Enbrel) reached US$802 million
in 200224, a total of
$US2.3 billion and an increase of 53% over the $US1.5 billion sales in
200125. Double-digit annual sales
growth is predicted until 2010. These products are administered by injection,
and again the market would be subject to major infiltration by an effective
oral therapeutic. However, competition is high. An antibody fragment
is in late-phase development, with the launch expected in 2005. This
product, which is being developed by Pfizer/Celltech, is expected to
have an attractive administration regimen of subcutaneous injection of
once every 4 weeks, and to be much cheaper to produce than the existing
biologics. Over the next 7 years approximately 19 disease-modifying drugs
are expected to reach the rheumatoid arthritis market, and this sector
of the market is forecast to grow at an annual rate of 12.4% between
2001 and 2010, approaching US$7.3 billion in sales in 201026.
Development status
Use of the Mozaic technology has identified several probes that could
up- or down-regulate secretion of TNF. A structure on the surface of
the most active micelle has now been converted into a single peptide
chain retaining essentially all the activity of the original complex,
and has been adopted as a lead compound. The integrity of this compound
in biological fluids and its ease of manufacture have now been established.
Its effect on blood from patients with rheumatoid arthritis and its oral
availability are now being tested, and the product will then enter pre-clinical
animal testing for safety and efficacy. If these stages are successful
it will then follow the full development and global regulatory pathway
for a new chemical entity.
ORAL VACCINE DELIVERY
Vaxcine oral vaccine technology
Most vaccines are injected, and oral delivery of vaccines can generate
enhanced immunological responses by eliciting mucosal immunity. Oral
vaccine delivery also offers the same advantages as oral formulation
of pharmaceuticals in terms of patient acceptance. The technology platform
on which Bone Limited’s product development in this area is based
involves encapsulating the antigenic protein, which is then dispersed
in oil. This generates a vehicle to target Peyer’s patches and
generate mucosal immunity, primarily in the intestine. Immunostimulants
can be included in the formulation to direct the immune response to humoral
or cellular immunity. A range of oils can be used, and all components
of the combination chosen are already registered for oral use, which
simplifies the regulatory process. The system has been shown to be effective
in regulating immune responses against a range of antigens in mouse models.
This is an area in which there is strong competition. Emisphere’s
delivery system is being applied to the development of an oral anthrax
vaccine in association with the US Army27,
and several other biotechnology companies are developing oral delivery
platforms applicable to vaccines. These include cochleates developed
by BioDelivery Sciences International28 and
DOR BioPharma’s microencapsulation technology29.
Collagen tolerance project
One of the targets for immunological attack in rheumatoid arthritis is
Type II collagen, a major component of cartilage. This program addresses
the development of new compounds based on collagen, with the aim of preventing
degeneration and possibly regenerating joint linings. However, the development
of vaccines for autoimmune disease is in its infancy, and there is no
certainty that this approach will achieve the desired outcome.
Market for collagen tolerance
The rheumatoid arthritis market is described above. There has been one
attempt to develop a peptide vaccine for rheumatoid arthritis against
a different molecular target, but although it completed Phase II trials
further development was then terminated.
Development status
This project is at the early discovery stage. It will follow the full
development and regulatory pathway for a new chemical entity.
INTELLECTUAL PROPERTY
Bone Limited has licensed in intellectual property protecting the technology
platforms on which its product pipeline is based, and any and all improvements
to these technology platforms. These patents and patent applications
are owned by Axcess Limited, Mozaic Discovery Limited and Vaxcine Limited,
which have granted to Bone Limited exclusive global licences in the therapeutic
area. However, of the 6 patents and patent applications licensed in to
Bone Limited, to date only one has been granted and maintained in the
US and only one granted in Europe.
The Axcess patents cover the use of the whole range of non-toxic aromatic
alcohols as permeation enhancers for oral delivery of peptides and proteins,
and the novel formulations required for them to work. Bone Limited also
has considerable technical know-how, particularly in relation to formulation
of proteins with the absorption enhancers used in the oral delivery vehicle.
This is a significant component of the Company’s intellectual property.
THE BONE LIMITED BUSINESS CAPABILITY
Bone Limited was incorporated in 2002. The Company aims to minimise overheads
and outsource non-essential functions, and has entered a management contract
with Proxima Concepts Limited on a renewable 3-year term basis. Proxima
Concepts is a biopharmaceutical R&D company based at the London BioScience
Innovation Centre, and has been closely involved in development of the
drug delivery platforms that are licensed to Bone Limited. Proxima Concepts
will conduct some of the core activities of Bone Limited, which will
therefore exert reduced control over its business. Bone Limited will
expand its portfolio by a combination of in-house research and academic
collaborations. Products will be out-licensed at Phase II of development
to reduce the time and expenditure necessary to generate cash flow. This
approach means that if oral calcitonin and PTH, the Company’s lead
products, demonstrate bioequivalence with existing products in Phase
II trials they will be ready for licensing in the short term.
It is intended that Bone Limited’s Board will comprise Leon Ivory,
Michael Perrot, Glen Travers, Chris Bilkey and Jim Phillips, the Company’s
Managing Director. The Company intends to expand its Board by the inclusion
of a clinician with a strong research record in the field of bone and
joint disease. The Board will then encompass a broad range of corporate
and operational experience in the financial, biotechnology and pharmaceutical
sectors, covering development, regulatory issues and marketing. This
will be combined with hands-on expertise in application of the Company’s
potential products. Bone Limited’s Chief Operating Officer is John
Fitzgerald and its Chief Scientific Officer is Roger New, the inventor
of the platform technologies that underpin the Company’s business.
STRENGTHS AND ADVANTAGES
- The platform technologies on which Bone Limited’s
portfolio are based appear to offer potential for the discovery and
development of competitive therapeutic products in the field of bone
and joint disease.
- Exclusive global licences to these platform technologies
in the field of bone and joint disease are in place.
- The Company’s portfolio is well balanced
in relation to stage of development and time to market.
- The portfolio targets attractively large, well
developed and in most cases growing markets.
- Bone Limited’s two lead products, oral
salmon calcitonin and oral PTH 1-34**, are well advanced in relation
to the Company’s strategy of licensing out after Phase II trials.
Because neither includes a new chemical entity, the regulatory pathway
is relatively short and inexpensive compared with most new drugs.
Successful licensing of the lead products will generate revenue in
the short- to medium-term.
- The Company has existing active links with major
pharmaceutical companies that represent an advantage when negotiating
licensing on of its products, and increase the likelihood that licensing
partners will be found at the most opportune time.
- The Company’s management has a depth of
experience in the commercialisation of biotechnology.
RISKS
In addition to the business risks facing this venture
and described elsewhere in this prospectus there are risks associated
with the technical and the commercial development of the projects.
- The research and market areas addressed by Bone
Limited are competitive and very active, and four of the Company’s
seven projects are at the discovery stage. These discovery projects
may not yield lead compounds that will be competitive in the marketplace.
Competitors may develop novel therapies that better address patient
needs.
- The pending patent applications may not be granted
or, once granted, may be more restricted than expected. We have not
conducted an analysis of competing intellectual property, but the
Company will need to be satisfied that its pipeline products do not
infringe broader patents in the field.
- Because Bone Limited currently has access to
the platform technologies only for use in the field of bone and joint
disease, the Company’s opportunity to exploit discoveries in
other fields may be restricted unless further rights are negotiated.
For example, a novel-anti-inflammatory may have much wider applications
than for rheumatoid arthritis, but Bone Limited does not have the
rights to such applications.
- The lead products may fail in Phase II trials,
or may not demonstrate sufficient advantage over other existing or
pipeline products.
- The Company may not be able to attract a licensee
or complete a satisfactory licensing deal in an acceptable timeframe.
- If bioavailability by the oral route is low,
the need to incorporate relatively large amounts of calcitonin and/or
PTH in the formulation will either increase the price to the customer
or increase production costs and lower profits relative to competing
products. Management will need to carefully assess the optimum balance
between market acceptability and profit margin.
- The development and regulatory pathway for any
novel drugs generated by the discovery projects is long and expensive.
- Bone Limited outsources much of its core research
effort to Proxima Concepts, and its control over one of the fundamentals
of its business is thereby reduced.
- The Company’s portfolio is broad, addressing
several technologies and at least two complex market areas, and its
resources are limited. Decisions will need to be made on the most
effective deployment of resources to each project at an early stage
and at regular intervals. We believe the Company executives have
sufficient experience to make these decisions.
CONCLUSIONS
- Bone Limited has in-licensed promising platform
technologies that underpin a balanced portfolio in the Company’s
target area of therapeutics for bone and joint disease. No product
of these technologies has yet been commercialised, but we believe
that they are well founded and have the potential to generate competitive
products. The area is highly competitive but the Company should be
in a good position to license on to international companies.
- The Company’s product pipeline is targeted
at specific market needs. Although the overall markets are very large,
they are fragmented and products under development by Bone Limited
address only parts of these markets. Nevertheless, the opportunity
remains attractively large and growing if the Company’s products
demonstrate advantages over competing drugs. We believe Bone Limited’s
products have the potential to do this.
- The technologies are the subject of several patent
applications which cover the requisite scope of Bone Limited’s
R&D effort; some of these are not yet granted. Early phase clinical
trials are being undertaken to complete the Company’s development
programme for its two lead products, oral formulations of calcitonin
and PTH. The full development and global regulatory pathway will
need to be pursued for any lead product generated by the remaining
projects, which are at the discovery stage.
- Bone Limited’s two lead products, address
oral therapy for osteoporosis. The Company’s strategy is to
generate revenue by licensing out its products after phase II trials.
The two lead products do not contain new chemical entities and their
development and regulatory pathway is therefore likely to be shorter
and less costly than for novel drugs. These products are relatively
close to licensing out if they succeed in phase II trials. Other
discovery stage projects target the identification and development
of new compounds for the treatment of osteoporosis and rheumatoid
arthritis. We believe that these are appropriate and accessible target
areas for the Company.
- The previous experience of Bone Limited’s
Board and Management in drug development and commercialisation provides
contacts and a breadth of expertise appropriate to the effective
functioning of a small biotechnology company.
DISCLAIMER
This report is provided solely for the information
of potential investors in Bone Limited. All comments, forecasts and
recommendations made in this report are made in good faith on the basis
of information available to the consultants at the time including information
from Bone Limited. Bone Limited has given permission to include the
information as presented. Aoris Nova has prepared this independent
report according to the Policy Statements and Practice Notes from the
Australian Securities and Investments Commission (ASIC, and the Australian
Stock Exchange Listing Rules. Aoris Nova holds an Investment Advisors
License from the Australian Securities and Investment Commission (ASIC,
No. 256684). This report does not make any recommendations regarding
purchase of shares in Bone Limited.
There are risks in bringing the Bone Limited products to market where
they can generate revenues. Aoris Nova does not guarantee that the actions
noted in this report will actually come to pass because of possible changes
in the markets and general business environment, and actions by Bone
Limited, which occur over time subsequent to this report and are outside
our control to know. Aoris Nova has not audited any financial forecasts
of Bone Limited and has not analysed the legal status of agreements Bone
Limited has entered into or patents filed. However, in our independent
assessment we have not identified anything that would indicate that this
is materially misstated. A draft report was issued to Bone Limited to
confirm factual accuracy and changes were made in the final report to
reflect these.
We have given our written consent to the issue of this report as appearing
in the Prospectus in the form and context in which it appears. We have
been involved only in the preparation of this Report and not in any other
part of this Prospectus, and specifically disclaim liability to any person
in respect of any statements included elsewhere in this Prospectus. We
have not, other than as set out above, been involved in the preparation,
nor authorised or caused the issue of, this Prospectus.
Aoris Nova has acted independently in preparing this report and neither
its directors nor staff have any pecuniary or other interest in Bone
Limited, or their associates, that could reasonably be regarded as affecting
its ability to give an unbiased opinion. Aoris Nova will receive normal
professional fees for the preparation of this report. With the exception
of these fees, it will not receive any other benefits, either directly
or indirectly, from the preparation of the report.
Yours faithfully,
AORIS NOVA PTY LTD
| Joan Dawes MA D.Phil. |
Kelvin Hopper PhD |
| Senior Consultant |
Managing Director |
1 The Worldwide Orthopaedic
Market 2002-2003 Knowledge Enterprises, November 2003. 2 www.emisphere.com.
3 www.unigene.com
4 www.emedicine.com. Carbone L, Barrow K. Paget’s
Disease. 2002. 5 Datamonitor, January 2004. 6 www.ims-global.com
7 Datamonitor, January 2004. 8HPC
Capital Management 9 www.corporate-ir.net 10 www.nobexcorp.com
11 The Review. North Vancouver Community Drug
Utilization Program. February 2000. 12 Datamonitor,
January 2004 13 www.npsp.com
14 Epidemiology: Osteo and Rheumatoid Arthritis
- defining the patient populations. Datamonitor. 15 Oct 2003.
15 The burden of musculoskeletal conditions
at the start of the new millenium. WHO Technical Report Series 919, 2003.
16 Silman AJ; Pearson, JE. Epidemiology and
genetics of rheumatoid arthritis. Arthritis Res 4 Suppl 3, pp. S265-72.
2002.
17 www.corixa.com 18 www.bioscorpio.com
19 www.marketresearch.com 7 Jan 2004. 20 Decision
Resources Inc. Osteoarthritis. 2004.
21 www.arc.org.uk 22 www.lef.org/protocols
23 www.ukmi.nhs.uk 24 www.mindbranch.com
25 Marketletter 24 June 2002. 26 www.bioportfolio.com
27 www.corporate-ir.net 28 www.biodeliverysciences.com
29 www.dorbiopharma.com
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