Forward Looking Statements
This document includes statements concerning our operating results (including product sales), financial condition and product development milestones, which are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. All statements herein that are not clearly historical in nature are forward-looking, and the words “anticipate,” “assume,” “believe,” “expect,” “estimate,” “plan,” “will,” “may,” and the negative of these and similar expressions generally identify forward-looking statements. All forward-looking statements involve risks, uncertainties and contingencies, many of which are beyond Flamel’s control and could cause actual results to differ materially from the results contemplated in such forward-looking statements. These risks, uncertainties and contingencies include the risks relating to: our dependence on a small number of products and customers for the majority of our revenues; the possibility that our Bloxiverz® and Vazculep® products, which are not patent protected, could face substantial competition resulting in a loss of market share or forcing us to reduce the prices we charge for those products; the possibility that we could fail to successfully complete the research and development for the two pipeline products we are evaluating for potential application to the FDA pursuant to our “unapproved-to-approved” strategy, or that competitors could complete the development of such products and apply for FDA approval of such products before us; our dependence on the performance of third parties in partnerships or strategic alliances for the commercialization of some of our products; the possibility that our products may not reach the commercial market or gain market acceptance; our need to invest substantial sums in research and development in order to remain competitive; our dependence on certain single providers for development of several of our drug delivery platforms and products; our dependence on a limited number of suppliers to manufacture our products and to deliver certain raw materials used in our products; the possibility that our competitors may develop and market technologies or products that are more effective or safer than ours, or obtain regulatory approval and market such technologies or products before we do; the challenges in protecting the intellectual property underlying our drug delivery platforms and other products; our dependence on key personnel to execute our business plan; the possibility that we may cease to qualify as a foreign private issuer, which would increase the costs and expenses we incur to comply with U.S. securities laws; and the other risks, uncertainties and contingencies described in the Company’s filings with the U.S. Securities and Exchange Commission, including our annual report on Form 20-F for the year ended December 31, 2014, all of which filings are also available on the Company’s website. Flamel undertakes no obligation to update its forward-looking statements as a result of new information, future events or otherwise, except as required by law.
Flamel Technologies Transformed
• Fully integrated global specialty pharmaceutical company with FDA approved products and a broad pipeline using Flamel’s proprietary drug delivery platforms
• Two FDA approved products marketed by Flamel in the United States will drive significant revenue growth in 2015
• Incremental clinical data for several of Flamel’s pipeline products over the next 12-18 months
• Cash flow positive as of Q4 2014 and will be cash flow positive in 2015 and beyond (six months 2015 adjusted net income non GAAP = $18.3m)
• Net cash position of over $116m on June 30, 2015 provides for a strong balance sheet
Key Milestones Achieved
Launch of Bloxiverz® and Vazculep® in the United States (July 2013 and October 2014)
Completed an equity raise of $113m (net proceeds) (March 2014)
• Eliminated virtually all debt
Divested contract manufacturing facility (December 2014)
• Clear focus on product development and revenue generation
Implemented corporate reorganization (December 2014)
• Established footprint in Ireland and shifted all intellectual property from France to Ireland
Presented positive clinical and preclinical data
• Micropump® sodium oxybate: eliminated middle of the night dose (December 2014)
• LiquiTime® ibuprofen: twice-daily dosing confirmed (September 2014)
• LiquiTime® guaifenesin: twice-daily dosing confirmed (March 2015)
• Trigger Lock™ hydromorphone: bioequivalence criteria met (under fasted conditions) (June 2015)
2015 Expectations
• Achieve total product sales of $170-185m
• Submit an application for UMD#3 to the FDA
NDA accepted for filing by FDA - September 2015 (PDUFA date: April 30, 2016)
• Start pivotal study for Micropump® sodium oxybate
• Present human clinical data on at least one additional LiquiTime® product
Positive LiquiTime® guaifenesin First-In-Man data announced in March 2015
• Enter into an agreement for one or more LiquiTime® OTC products
• Present PK data and abuse deterrence data on Trigger Lock™ hydromorphone
Positive results from two pilot PK studies (fed and fasted conditions) in healthy volunteers announced in June 2015
Flamel’s Goals
•
Upcoming Milestones
Upcoming Milestones
Technology H1 2015 H2 2015
UMD Product #3* NDA filed with FDA Accepted by FDA -September 2015
Micropump® Pre-IND meeting with FDA for sodium oxybate
Sodium oxybate pivotal clinical initiation
LiquiTime® Clinical data for guaifenesin
Positive PK results announced in March 2015
Ibuprofen pivotal clinical initiation
Trigger Lock™ Clinical data for hydromorphone
Positive PK results in healthy volunteers (fed and fasted
conditions) announced in June 2015
Abuse deterrence data generated in-house
Abuse deterrence data
generated independently by a contract research organization FDA meeting request
Medusa™ Phase I dosing begins in August
with first clinical data available around year-end
Drug/ Technology Indication ClinicalPre- Proof of Concept RangingDose Pivotal ReviewUnder Approved Marketed ForceSales
Bloxiverz®/UMD* Anesthesia Flamel
Vazculep®/UMD* Anesthesia Flamel
UD/UMD* #3 Undisclosed Flamel
UD/UMD* #4 Undisclosed Flamel
Sodium oxybate/
Micropump® Narcolepsy TBD
Ibuprofen/LiquiTime® Pain, fever TBD
Guaifenesin/LiquiTime® Respiratory TBD
Hydromorphone/
Trigger Lock™ Pain TBD
Exenatide/Medusa™ Diabetes TBD
Flamel’s Pipeline (Q3 2015)
Flamel’s Pipeline Looking Ahead
(Q3 2016)
Drug/ Technology Indication ClinicalPre- Proof of Concept RangingDose Pivotal ReviewUnder Approved Marketed Sales Force
Bloxiverz®/UMD* Anesthesia Flamel
Vazculep®/UMD* Anesthesia Flamel
Disclosed/UMD* #3 Disclosed Flamel
Disclosed/UMD* #4 Disclosed Flamel
Sodium oxybate/
Micropump® Narcolepsy TBD
Ibuprofen/LiquiTime® Pain, fever TBD
Guaifenesin/LiquiTime® Respiratory TBD
Hydromorphone/
Trigger Lock™ Pain TBD
Exenatide/Medusa™ Diabetes TBD
*UMD is Flamel’s Unapproved Marketed Drugs Strategy that does not involve patented technology TBD= To Be Determined
Flamel’s Marketed Products
•
Bloxiverz®
Marketed Product – BLOXIVERZ®
• FDA approval on May 31, 2013(first FDA-approved neostigmine methylsulfate injection)
• Strengths: 0.5 mg/mL or 1 mg/mL (10 mL multiple-dose vial)
• Indication: reversal of the effects of non-depolarizing neuromuscular blocking agents after surgery
• Bloxiverz® WAC price is $98.75 per vial
• There are approximately 5 million vials sold annually in the United States
Marketed Product – VAZCULEP®
• FDA approval on June 30, 2014(only FDA-approved phenylephrine injection available in three vial sizes)
• Form: 1 mL single use vials, 5 mL and 10 mL
pharmacy bulk package vials for intravenous injection (bolus or infusion) (strength: 10 mg/mL)
• Indication: Treatment of clinically important hypotension resulting primarily from vasodilation in the setting of anesthesia
• WAC Prices for all three sizes are competitive
• Recent data show the following approximate annual unit volumes:
• 1mL vial – 5.6m 5mL vial – 1.3m 10mL vial – 140K
Flamel’s R&D Pipeline
•
Micropump® sodium oxybate
•
LiquiTime® ibuprofen
•
LiquiTime® guaifenesin
•
Trigger-Lock™ hydromorphone
• Micropump® sodium oxybate has been studied in 40 healthy volunteers to
date across 2 studies
• Results of two studies at doses of 4.5g and 6g show the following:
Onset of action similar to 4.5g nightly dose of Xyrem® (Jazz’s sodium oxybate)
Cmax lower than 4.5g nightly dose of Xyrem® (6g dose similar to Xyrem 4.5g dose)
Mean blood concentration (μg/mL) at hours 7 and 8 similar to 4.5g nightly dose of Xyrem®
No adverse events or tolerability issues
• Micropump® sodium oxybate 7.5g dose performed in line with expectations
relative to the data at lower doses of Micropump sodium oxybate
• Profile is consistent with the need for only one single dose before bedtime
• Current dosing regimen for Xyrem®, the standard of care in the U.S., is two equal, divided doses: the first dose at bedtime and the second dose 2.5 to 4 hours later
• Flamel has met with the FDA in H1 2015 and is on target to begin pivotal study at year end 2015
Micropump
®
Sodium Oxybate – Treatment of Narcolepsy
• 2014 sales for Xyrem® were $779m1
• CAGR for Xyrem from 2009-2014 is in excess of 50%
• The number of narcoleptics in the US is estimated to be in excess of 178,000 patients2
• Jazz reports less than 13,000 patients currently on treatment
• Micropump® sodium oxybate could benefit from the significant number of untreated patients
• Limited competition to date
• Jazz is expected to maintain dominant position in the narcolepsy market
• Micropump® sodium oxybate is anticipated to benefit from an improved profile compared with Jazz’s drug
Micropump® Sodium Oxybate – Market Opportunity
1Jazz’s Q4 2014 financial results 2GlobalData
LiquiTime® Ibuprofen – Treatment of Pain and Fever
Extended-Release Liquid Ibuprofen
• Ibuprofen oral suspension twice-daily dosing confirmed
• First-in-Man (FIM) clinical study in healthy volunteers (15 subjects)
• Trial design: open-label, randomized, 3-way crossover with an immediate-release ibuprofen control and 2 formulations of LiquiTime® ibuprofen
• PK results announced in September 2014 demonstrated:
Bioequivalence to immediate-release ibuprofen
Similar onset versus immediate-release ibuprofen
Similar blood levels at 12 hours versus immediate-release ibuprofen
No safety or tolerability issues
LiquiTime® Guaifenesin – Treatment of Cough and Cold
Extended-Release Liquid Guaifenesin
• Guaifenesin oral suspension twice-daily dosing confirmed
• First-In-Man (FIM) clinical study in healthy volunteers (16 subjects)
• Trial design: open label, randomized, 4-way crossover with an immediate release guaifenesin control dosed three times over 12 hours and three formulations of LiquiTime® guaifenesin
• PK results announced in March 2015 demonstrated:
A profile that is highly likely to succeed in a pivotal bioequivalence study
Similar blood levels at 12 hours versus immediate-release guaifenesin
No safety or tolerability issues
• Cough and cold US market is estimated at $6.5b annually1
• OTC (Over-The-Counter) ibuprofen-containing products recorded sales in the USA beyond $490m including combination products2
• OTC guaifenesin-containing products recorded sales in the USA beyond $440m including combination products2
• These markets are dominated by OTC drugs, many of which are combination of different active ingredients having distinctive actions:
• Ibuprofen or Acetaminophen/paracetamol (analgesic and antipyretic)
• Chlorpheniramine or Diphenhydramine (antihistamine)
• Pseudoephedrine or Phenylephrine (decongestant)
• Dextromethorphan (antitussive)
• Guaifenesin (expectorant)
• LiquiTime® allows for the combination of those active ingredients with potentially tailored release profiles for each of them
• Positive results from two pilot PK studies in healthy volunteers announced in June 2015
Bioequivalence criteria for area under the curve (AUC) and the peak plasma concentration (Cmax) were met under fasted conditions
No notable difference seen in either AUC or Cmax in fed and fasted conditions (comparing the effect of food on the PK parameters)
• Abuse deterrence data generated in-house and being generated independently by a contract research organization (subject to further announcements)
• Flamel will meet with the FDA before the end of 2015
• Abuse of painkillers is a major public health concern in the USA
• An estimated 2.1 million people in the US are suffering from substance use disorders related to prescription opioid pain relievers in 2012
• Recent FDA policy is positive for anti-abuse platforms such as Trigger Lock™
• Market opportunity:
U.S. market for prescription painkillers (all forms) in 2014: $9.4b*
• OxyContin® (extended-release oxycodone, Purdue): $2.5b*
• ER hydromorphone (Exalgo® & generic, Mallinckrodt + generic, Allergan) $204m*
• 41 million opioid prescriptions for extended- and immediate-release oral opioid-containing products in the US in 2014*
Trigger Lock™ Hydromorphone – Treatment of Pain
Extended-Release Abuse-Resistant Opioid: Results and Market Opportunity
• Successfully tested in minipigs (June 2014)
Significantly improved bioavailability versus Bydureon®
Two successive injections were administered with very similar release profiles
No adverse clinical signs
Excellent local tolerability
• PK profile is compatible with a release over one week in humans
• Interim phase I human clinical data to be reported in late 2015
• Market opportunity: GLP-1 (glucagon-like peptide-1) products recorded US sales beyond ~$2.6b* in 2014, including
• $1.8b for Victoza® (once a day liraglutide, Novo Nordisk)
• $458m for Bydureon® (once-a-week exenatide, AstraZeneca)
• $320m for Byetta® (twice-a-day exenatide, AstraZeneca)
Medusa™ Exenatide – Treatment of Type 2 Diabetes
Flamel’s Strengths
•
Diversified and proven drug delivery platforms
•
Strong intellectual property
•
Seasoned senior management
Diversified and Proven Drug Delivery Platforms
• Flamel owns and develops outstanding drug delivery platforms that are able to tackle keychallenges in the formulation, in various dosage forms (e.g. capsules, tablets, sachets or
oral liquid suspensions; or injectable for subcutaneous administration) of a broad range of
drugs (already-marketed, off-patent or novel)
Modified/Controlled Release of Solid Oral Drugs
Modified/Controlled Release of Liquid Oral Drugs
Abuse-Resistant Modified/Controlled Release
Narcotics/Opioid Analgesics
Modified/Controlled Release of Injectable Drugs
Strong Intellectual Property
Broad portfolio of patents*
• New patents may be issued targeting each individual product in development where a Flamel drug delivery platform is applied to a specific molecule
Date of expiration of granted patents
Platform US Europe
Micropump® July 2027 July 2023
LiquiTime® September 2025 April 2023
Trigger Lock™ April 2027 May 2026 (pending)
Medusa™ June 2031 June 2027 (pending)
Seasoned Senior Management
Name Title Appointed Experience
Michael S. Anderson Chief Executive Officer 2012 40+ years Pharma
Sandy Hatten Senior Vice President, Quality and Regulatory Affairs 2015 30+ years Pharma
Phillandas T.
Thompson, J.D., M.B.A. Senior Vice President, General Counsel 2013 16+ years Legal
Siân Crouzet Principal Financial Officer 2005 17+ years Financial
Gregory J. Davis Vice President, Corporate and Business Development 2015 20+ years Pharma
David Monteith, Ph.D. Vice President, Research and Development 2014 25+ years Pharma
Scott Macke Vice President, Supply Chain and Operations 2012 22+ years Pharma
Jean Chatellier, Ph.D. Vice President, Alliance Management and Licensing 2010 15+ years Pharma
Séverine Martin,
Condensed Consolidated Statement of Operations
(Unaudited)
In USD million,
except EPS (USD) and shares data (million)
Six months ended
June 30, 2014 June 30, 2015
Total Revenue 8.9 82.5
Total Costs and Expenses (52.5) (73.5) Profit (loss) from continuing
operations (43.6) 9.0
Net income (loss) from continuing
operations (47.1) (5.8)
Net income (loss) (47.7) (5.8)
Diluted EPS from continuing
operations (1.41) (0.14)
Adjusted Diluted EPS (non-GAAP) (0.29) 0.45 Diluted Shares Outstanding 33.4 40.3
Condensed Balance Sheet
(Unaudited)
In USD million As of Dec. 31, 2013 As of Dec. 31, 2014 As of March 31, 2015 As of June 30, 2015Cash & marketable
securities 7.0 92.8 113.2 116.1
LT debt1 85.5 118.5 123.2 n/a
Other LT liabilities2 8.3 2.3 2.1 n/a
1 Includes government loans for R&D projects + acquisition liability contingent consideration, note and
warrant consideration, and facility and royalty agreements concluded in February 2013 and December 2013
Flamel Technologies Transformed
• Fully integrated global specialty pharmaceutical company with FDA approved products and a broad pipeline using Flamel’s four proprietary drug delivery platforms
• Two FDA approved products marketed by Flamel in the United States will drive significant revenue growth in 2015
• Incremental clinical data for several of Flamel’s pipeline products over the next 12-18 months
• Cash flow positive as of Q4 2014 and will be cash flow positive in 2015 and beyond (six months 2015 adjusted net income non GAAP = $18.3m)
• Net cash position of over $116m on June 30, 2015 provides for a strong balance sheet
Flamel Technologies SA (NASDAQ: FLML) is a specialty pharmaceutical company utilizing its core competencies in
formulation development and drug delivery to develop safer and more efficacious pharmaceutical products, addressing unmet medical needs and/or reducing overall healthcare costs. Flamel currently has approvals for and markets two previously Unapproved Marketed Drugs (“UMDs”) in the USA, Bloxiverz® (neostigmine methylsulfate injection) and Vazculep® (phenylephrine hydrochloride injection). The Company intends to add to this branded business by creating additional products, focusing on the development of products utilizing Flamel’s proprietary drug delivery platforms. Flamel currently has several products in development utilizing Micropump® (oral sustained release microparticles platform) along with its tangent technologies, LiquiTime® and Trigger Lock™. The lead project for Micropump® is sodium oxybate. LiquiTime® allows for the extended-release of liquid medicines (such as ibuprofen and guaifenesin) and Trigger Lock™ is an abuse-resistant iteration of Micropump®, designed specifically for long-acting opioids (such as hydromorphone). Additionally, the Company has developed a long acting injectable platform, Medusa™, a nanogel depot technology currently being studied with exenatide. Flamel’s products are targeting high-value molecules and will utilize either the 505(b)(2) approval process for NDAs or biosimilar pathways ultimately approved by FDA and other regulatory authorities. The Company is headquartered in Lyon, France and has operations in St. Louis, Missouri, USA, and Dublin, Ireland.
Headquarters
33 avenue du Dr. Georges Levy 69200 Vénissieux (Lyon) France Corporate Contact Phone: +33 472 783 434 Fax: +33 472 783 435 E-mail: licensing@flamel.com
Specialty Pharmaceutical Company with Proprietary Drug Delivery Platforms Focused on
Micropump® Platform at a Glance
• Extended/delayed release of drugs best absorbed in the small intestine (75% of all small molecules)
• Precise pharmacokinetics of single or combination of drugs in various formats
• Numerous Micropump®-based products successfully tested in human clinical trials
Various dosage forms (tablet, capsule, sachet, liquid)
Commercial stage
platform approved in the USA and EU
Widely used and accepted excipients
Rapid development time Combination of
multiple release profiles and/or multiple active ingredients
• Microparticles are dispersed in the stomach and pass into the small intestine, where each microparticle releases the drug at an adjustable rate and over an extended period of time (up to 24 hours)
• Drug released at an adjustable rate controlled and/or delayed
• Micropump® microparticles can be used separately or together to provide highly specialized delivery profiles
Micropump Microparticles for Controlled/Modified Release
Granules
drug granulate or layered neutral core
LiquiTime® Platform at a Glance
LiquiTime® is a novel, proprietary and innovative delivery platform allowing the stable Liquid and controlled release formulation of one or several combined drugs overTime
LiquiTime® meets challenges faced in the treatment of pediatric and geriatric patients and patient populations who have difficulty swallowing tablets or capsules, and may provide better patient compliance
LiquiTime®’s versatility allows once- or twice-daily liquid formulationsof a wide variety of drugs
This graph illustrates the different near zero-order release profiles which can be tailored for the same drug
Each microparticle is individually coated and behaves as an
independent micro reservoir
Coating
• controls diffusion
•keeps its integrity
•offers good resistance to stress
LiquiTime® for Extended Release Liquid Suspension
The liquid suspension contains small coated drug microparticles A dose typically contains 5,000 to 50,000 particles
ER microparticles are suspended in the liquid medium
Granules
drug granulate or layered neutral core
Trigger Lock™ is a proprietary and innovative delivery platform that enables
the controlled release of narcotic and opioid analgesics while deterring their
abuse
Trigger Lock™ successfully addresses the issues of narcotic/opioid analgesics
tampering:
The sustained release Micropump®-based microparticles are resistant to crushing: each microparticle retains its polymer coating which is virtually impervious to further crushing
Trigger Lock™ resists extraction attempts (even in boiling liquids) with beverages (alcoholic or not) preventing injection
Trigger Lock™ preserves the bioavailability of the narcotic/opioid analgesics
Trigger Lock™ is compatible with different dosage forms (capsules, tablets)
1. Drug loaded Micropump® microparticles
Sustained Release (SR) microparticles which are resistant to crushing 2. Viscosifying ingredient(s)
To prevent abuse by injection after extraction in a small volume of solvent 3. Quenching ingredient(s)
To prevent extraction in large volumes of liquid
Each microparticle retains its polymer coating
which is virtually impervious to further crushing
Medusa™
Nanogel Depot
Solubilization and stabilization of drugs
Applicable to a wide range of small molecules, peptide
and protein drugs
Safe, non-immunogenic and fully biodegradable
Sustained delivery from 1 to 7 days in human Combination of several
different drugs in the same formulation
Bio-friendly, water-based, solvent-free
formulation process
Strong IP position
Medusa™ Nanogel Depot For Injection
COO- Na+ COO- Na+ COO- Na+ COO- Na+ COO- Na+ COO-Na+ COO- Na+ Vitamin E Polyglutamate chain Drug solution or powderFormulation by simple mixing in water
Non-covalent association(reversible hydrophobic and/or electrostatic interaction) of the drug with Medusa™ nanogel
Injection
In vivo depot formation
1 2 3
Sustained release of the unmodified drug
over 1 to 7 days
*
* *
Water clear liquid Solution Or Freeze-dried
In Vitro In Vivo
• Made of polyglutamic acid and Vitamin E
• Amphiphilic and spontaneously forms stable nanoparticles in water