brii bio corporate presentation oct 2021
TRANSCRIPT
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Brii Bio Vision & Mission
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
Our vision is to Our mission is to
Continue to focus on
indications with large patient
populations
Prioritize the access to
markets where the target
indications have the greatest
impact
Leverage patient insight to
guide innovation and deliver
paradigm-shifting new
treatment options
Value creation through strong
global R&D and partnership
capabilities combined with
China clinical development
efficiency
Be the leading public health-inspired and infectious
diseases / CNS diseases-focused biotech
Tackle world’s biggest public health challenges with
Breakthrough Innovation & Insight
3
Brii’s pipeline investment is aligned with China vs. Global market potential
Without effective cure, many diseases’ prevalence and burden are increasing
73 million 269 / 19 million7.6 million 213(1) million 39 millionPrevalence
(2019)
Hepatitis BMajor Depressive Disorder /
Postpartum Depression
MDR/XDR gram-negative
bacterial infection COVID-19 HIV infection
China is a major market for HBV
Cure and MDR/XDR hospital
infections
Frost & Sullivan Industry report;1.Cumulative confirmed cases as of August 23, 2021 per John Hopkins data
Brii Rights
4
US and EU are the major markets for HIV
infection and CNS diseases
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
Broad pipeline addressing large disease burdens in China & globally
5
Indication Program Preclinical IND Approval Phase 1 Phase 2 Phase 3Regulatory
AuthorityBrii Rights
Licensing
Partners/Internally
Discovered
Infectious Disease Programs
Hepatitis B
BRII-179 (VBI-2601) NMPA Greater China
BRII-835 (VIR-2218) NMPA Greater China
BRII-179/BRII-835 Combination NMPA Greater China
COVID-19
BRII-196(1) FDA/NMPA Global
BRII-198(1) FDA/NMPA Global
HIV infection
BRII-778 FDA Global Internally discovered
BRII-732 FDA Global Internally discovered
MDR/XDR
gram-negative
infections
BRII-636(2) (QPX-7728) FDA Greater China
BRII-672(2) (QPX-7831) FDA Greater China
BRII-693(2) (QPX-9003) FDA Greater China
MDR/XDR TB
MycobacteriaBRII-658(2) (AN2-501971) FDA Greater China
Central Nervous System Disease Programs
PPD BRII-296 FDA Global Internally discovered
MDD BRII-296 FDA Global Internally discovered
Source: Company information as of November 2021
Notes:
1. The filing of EUA application with FDA for combination BRII-196/BRII-198 has been completed in October 2021.
2. To this date, the development and clinical trials have been conducted by Qpex and AN2, respectively.
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
World-class leadership team with a proven track record of success
Jean-Luc GIRARDETSVP
Pharmaceutical Science
Former VP of research
operations at Ardea Biosciences
Former Director and Head of
Virology Group at MedImmune
Qing ZHUSVP
Biopharma
John Maraganore
Ph.D.CEO of Alnylam
Pharmaceuticals
David D. Ho
M.D.Founding Scientific
Director and CEO
of the Aaron
Diamond AIDS
Research Center
Thomas O. Daniel
M.D.Former President of
Global Research and
Early Development at
Celgene Corporation
Chen Dong
Ph.D.Professor and Dean,
School of Medicine at
Tsinghua University
Zhijian ‘James’ Chen
Ph.D.Director of Inflammation
Research Center and
George L. MacGregor
Distinguished Chair in
Biomedical Science at UT
Southwestern
Clay B. Thorp
General Partner at
Hatteras Venture
Partners
Leadership team
Strategic advisors
6
Lianhong XUSVP
Medicinal ChemistryFormer Senior Director
at Gilead
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
Rogers LUOPresident &
China General Manager
Former VP and General
Manager of Gilead China
Former SVP and Head of
Infectious Diseases Therapy
Area Unit at GSK
Zhi HONGCEO
Li YANCMO
Former VP and Head Unit
Physician of GSK Oncology
David MargolisVP, Head of Infectious
Diseases Therapy Area
Former Medical Director and Senior
Medical Director for both GSK and ViiV
Lisa BECKSVP
BD & Portfolio Management
Former transactions and alliance
management head of Alexion
Former CFO of Terns
Ankang LICFO
Coy StoutSVP, Head of U.S. Market
Access and Patient Advocacy
Former VP of Market Access Strategy
and Account Management at Gilead
The importance of HBV functional cure in China
• Elimination of social stigma and risk of end-stage
liver diseases & cancer
• Avoidance of life-long treatment with a finite
treatment regimen
The Market Potential
• A sustained functional cure may unlock the underserved
needs and drive treatment & diagnosis
• The market will be sustainable because of the very large
patient pool
High unmet needs
• HBV infection is the major cause of end-stage of liver diseases and liver cancer
• Social stigma is still common among people living with chronic HBV
• Despite the desire for new therapy and high willingness to pay, only limited suboptimal
treatment options are available
FUNCTIONAL CURE
Definition of functional cure:
• Sustained immunological control of HBV
infection in the absence of HBV therapies
• Clinical lab tests: sero-negative for HBsAg
with or without sero-positive for HBsAb(1)
Hepatitis B
Source: Frost & Sullivan, Company information
1. Cornberg et al Hepatology (2020) 71:1070-1092
• Low cure rate (3%-7%)
• Cannot fully eliminate disease risks
without functional cure
• Life-long treatment is required for
treatment with NRTIs
7
Current standard of care
China will be the largest HBV Cure market
A sustained functional cure is transformational to patients’ life
While currently only 4m people are receiving antiviral treatment, 28m of the 73m people in China infected with HBV require treatment per guideline
Nucleotide/nucleoside reverse transcriptase
inhibitors (NRTIs) and interferon
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
Brii Bio HBV cure built on differentiated scientific insight
8
Mechanism of action of BRII-179 and BRII-835
BRII-835
BRII-179
HBV
Functional Cure+
Evidence from preclinical model(1)
Study design
• Two preclinical models of high-titer, persistent HBV infection were used (HBVtg mice and AAV-HBV model)
• In the study group, HBV antigens were suppressed using liver-directed siRNAs before applying a heterologous prime-boost therapeutic vaccine
Conclusion
• siRNA suppressions of HBV antigens enables therapeutic vaccination to achieve immune control in high-titer virus carriers
Source: Frost & Sullivan, Company information
1. Michler T, et al., Abstract 77 2018 AASLD; Gastroenterology. 2020 May;158(6):1762-1775.e9
HBV S, PreS1, PreS2,
Core, e-antigen, X
proteins
HBV-specific B-cell
& T-cell responses
to S, PreS1 & PreS2
Innate immune responses
Virion
Other
cells NK cells Stimulation
Polymerase
Entry
Virion
secretion
ER
Hepatocyte
Viral proteins
secretion
Adaptive immune responses
Therapeutic Vaccine
(BRII-179/BI-2601)
Effect through
IFN-γ or
cytotoxicity
siRNA
(BRII-835/VIR-2218)
HBV DNA integration
Induction of antiviral effectors
cccDNA formation
cccDNA
amplification
cccDNA
Nucleus
Transcription
pgRNA
rcDNA
mRNA
TranslationpgRNADNA
ER
DNAstrand synthesis Encapsidation
Reverse transcription
DC8*
cells
DC4*
cells
B cellsAAA
AAAAAA
AAA
HBsAg
HBeAg
mRNA degradation
RNA-induced silencing complex
siRNA
Mechanism of RNAi
mRNA
IFN-α
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
Hepatitis B
BRII-835 & BRII-179: Step change approach in the search for an HBV cure
9
BRII-835 (VIR-2218) demonstrates safety and
antiviral activity in patients(1)
Observed T cell responses to HBV surface antigens in ~50% of patientsHBsAg change from baseline (VIR-2218 Phase 2 Data)
ProgramPre-
cl in icalPh 1 Ph 2 Ph 3 Mi lestones
BRII-179
Phase 1b/2a
clinical study
completed
BRII-835
Patient follow-up
assessments
planned
BRII-179/BRII-835
combination
Study initiated
2Q 2021
• BRII-179/BRII-835 will be compared to BRII-
835 alone in a Phase 2 study to establish
proof of concept
• Phase 2 MRCT study includes planned study
sites in China, Hong Kong, New Zealand,
Australia, Taiwan, Singapore, Thailand and
South Korea with up to 135 patients to be
enrolled (initiated in New Zealand, Australia
and Hong Kong)
• The top-line interim clinical data for the Phase
2 combination study for BRII-179/BRII-835 is
expected in 2H 2022
• If positive results are achieved in the
combination study, we could submit a
registration filing for a BRII-179/BRII-835
combination in China as early as 2024
Source:
1. Vir Biotechnology company presentation;
Gane E, et al. Oral presentation at: The International Liver Congress – EASL; June 25, 2021; Virtual.
2. Ma et al , EASL 2021 late breaker submission
BRII-179 induced both HBV specific B- & T- cell
responses in CHB patients(2)
Observed antibody responses to HBV surface antigens in 30-50% of patients
BRII-179/BRII-835
combination study
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
Hepatitis B
Brii’s combination strategies lead the search for a cure
Planned or considered combinations
BRII-835 (VIR-2218)
VIR-3434
BRII-179
BRII-835
BRII-835 (VIR-2218)
PEG-IFN-α
BRII-179
PEG-IFN-α
HBV CURE
Preliminary results of Vir’s ongoing Phase 2 study
• Co-administration of VIR-2218 with PEG-IFN-α resulted in a more
rapid and substantial HBsAg decline compared to VIR-2218 alone
• The mean HBsAg decline from baseline was 2.0 log10 IU/mL at
Week 12 and 0.6 log10 IU/mL greater than VIR-2218 alone
China IND approval for
Phase 2 combination study
received in August 2021
Phase 2 study initiated in July 2021
• Initial data expected in 1H 2022
• Brii has an exclusive option to in-license VIR-3434 at predefined endpoints
‒ VIR-3434 is an investigational subcutaneously administered HBV-
neutralizing monoclonal antibody
‒ With the incorporation of Fc technologies, VIR-3434 has been
engineered to potentially function as a T cell vaccine against HBV in
infected patients
Brii
Partners
Phase 2 combination
study is ongoing
Additional
combinations
Additional
combinations
Source: Company information; Vir Biotechnology company presentation;
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
10
Hepatitis B
BRII-196
BRII-198
RBD
Highlights and MOA
BRII-196 & BRII-198: antibody therapy for treatment of COVID-19 COVID-19
11
AntibodyCompetition
with ACE2
Live Virus(7)
IC90 (µg/ml)
1F11
(BRII-196)> 99% 0.3
1G5
(BRII-198)< 18% 0.7
Retained antiviral activity against variants
of concern
• Current in vitro pseudovirus testing data
suggests that combination BRII-196/BRII-198
retains activity against major SARS-CoV-2
variants of concern, including the following
commonly identified variants, B.1.1.7 (Alpha),
B.1.351 (Beta), P.1 (Gamma), B.1.429
(Epsilon), B.1.617.2 (Delta), C.37 (Lambda)
and B.1.621 (Mu)
Half-life extension from ~ 21 days to ~
60-90 days(6)
• Longer duration of protection and potential
for an extended therapeutic window at a
lower dose
Derived from fully human neutralizing
antibodies, 1F11 and 1G5, respectively(1)
• Complete neutralization with potency
comparable to available products(2)
Target two distinct epitopes on RBD of
SARS-CoV-2 Spike(3)(4)
• Exert additive effect when combined that
may improve efficacy
• Minimize viral resistance generation and
escape as a cocktail(5)
1. Ju et al, Nature (2020). doi.org/10.1038/s41586-020-2380-z;
2. Hansen et al, Science (2020) doi: 10.1126/science.abd0827;
3. Jin et al Front Med (2017) 11:462;
4. Sivapalasingam et al, Lancet Infect Dis (2018) 18:884;
5. Baum et al, Science (2020) doi: 10.1126/science.abd0831;
Zhang et al, unpublished data;
6. Dall’Acqua et al. J Biol Chem (2006) 281:23514.
7. Independent live virus assays conducted in a US laboratory showed a much lower IC90 value
than above. Lab to lab variations may need to be considered in dose prediction.
8. Dr. Weiss (FDA-CBER);
9 Wang P. et al., https://www.biorxiv.org/content/10.1101/2021.01.25.428137v3
10. Wang R. et al., https://www.biorxiv.org/content/10.1101/2021.03.09.434497v2
11. Lusvarghi S. et al., https://doi.org/10.1101/2021.07.16.452748 (Code T for BRII-196+BRII-198)
Lineage Origin BRII-196/ BRII-198 (8)(9)(10)(11)
B.1.1.7 (Alpha) UK
B.1.351 (Beta) South Africa
P.1 (Gamma) Brazil
B.1.617.2 (Delta) India
AY.1/AY.2 (Delta+) India
B.1.427/429 (Epsilon) California
B.1.525 (Eta) Multiple
B.1.526 (Iota) New York
B.1.617.1 (Kappa) India
C.37 (Lambda) Peru
B.1.621 (Mu) Columbia
No impact <= 5-fold
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
BRII-196 & BRII-198: Phase 3 development for COVID-19 COVID-19
Randomized double-blind, placebo-controlled Phase 2/3 platform study
• Sponsor: NIAID (NIH)
• Participants: COVID-19 positive adult outpatients at high risk for disease
progression
• Intervention:
• IV BRII-196/198 – 1000mg/1000mg
• Placebo
• Efficacy endpoints:
• Phase 2 – D14 Viral Load, D28 Clinical
• Phase 3 – Hospitalization and Death
• Status:
• Phase 3 portion of the ACTIV-2 study has completed enrollment of 846
participants, in sites in the United States, Brazil, South Africa, Mexico
and Argentina in August 2021
• The Emergency Use Authorization(EUA) application with FDA for
combination BRII-196/BRII-198 has been completed in October 2021
Global Phase 3 Ongoing China Phase 2 ongoing
• The Phase 2 clinical trial in China is
ongoing led by Dr. Nanshan Zhong, the
Academician of the Chinese Academy of
Engineering and Director of the National
Clinical Medical Research Center for
Respiratory Diseases at the First
Affiliated Hospital of Guangzhou Medical
University
• In response to the recent emergence of
COVID-19 cases in China, including
cases caused by the Delta variant, Brii
Bio has cooperated with governmental
agencies and hospitals in China to
supply BRII-196/BRII-198 for emergency
use in Guangdong, Yunnan, Jiangsu,
Hunan, Henan, Fujian, Gansu, Ningxia,
Inner Mongolia, Heilongjiang, Qinghai,
Guizhou and Liaoning provinces.
Next Steps and Plans
• Complete Phase 2/3
development under the
ACTIV-2 trial protocol
• Complete Phase 2
study in China
• Waiting for EUA
approval
• File BLA
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
12
• BRII-196/BRII-198 reduced the risk of hospitalization and death over placebo by 78% in 837 outpatients at high risk of clinical progression. Through the
28-day primary endpoint, zero (n=418) deaths were observed on BRII-196/BRII-198 versus eight (n=419) deaths on the placebo arm. Of those subjects who
received treatment with BRII-196/BRII-198 within five days of symptom onset, 2% (4/196) progressed to hospitalization or death, compared with 11% (21/197)
in the placebo arm. Similarly, 2% (5/222) of subjects who received treatment with BRII-196/BRII-198 at six to 10 days following symptom onset progressed to
hospitalization or death, compared with 11% (24/222) of those receiving placebo.
Interim results from Phase 3 of the ACTIV-2 trial
Patients will play a more active role in the growing HIV market HIV infection
HIV-related deaths
In 2019
People living with
HIV in 2019
People newly infected
with HIV in 2019
Source: UNAIDS/WHO estimates
690,00039
Million
1.7
Million
Summary of the Global HIV Markets
Global market will continue to increase
• Reached $37.6 billion in 2020
• Developed markets, such as the United States,
currently account for the majority of the market
• Prevalence will increase to 61.6 million in 2034
✓ Discreet, convenient and non-
invasive therapies with drug
holiday
✓ Address patient's desire for
better QoL /convenience than
that offered current regimens
✓ Improved QoL and adherence
Treatment is invasive and
requires visit at the clinics or
pharmacies
✓ Proven safety and efficacy
profile
Significant emotional,
quality of life (QoL) and
adherence issues
Frost & Sullivan, Company information
https://www.healthline.com/health-news/fda-approves-first-injectable-drug-regimen-for-adults-living-with-hiv
Derrick. Open Forum Infectious Diseases. 2018;5:10; Slide credit: clinicaloptions.com
Advancement of HIV treatment
Current SoC: once daily single
tablet regimen (STR) oral
therapies
New treatment options include
once monthly (QM) & Q2M
parenteral therapies
Aspirational once weekly (QW)
oral therapies
Patient survey
N = 263 participants on suppressive ART at 2 out-patient HIV clinics participated survey
were “very interested” in switching to a once-weekly pill,
vs 39% in 2 shots, 18% in implantsAnswer
Question
3 choices were given:
– Single pill once weekly
– Two shots in clinic every other month
– Implanting and removing 2 small plastic rods about the size of a
matchstick in each forearm every 6 months
What administration option is the most attractive to you when considering switching from current treatment?
66%
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
13
A new treatment option for patients: once weekly single tablet regimen (STR)
New once weekly oral treatment
option for HIV patients
Goal: Develop a once weekly (QW) oral single tablet
regimen (STR) for treatment of HIV infection
NNRTI
NRTI
NRTTI
BRII-778
BRII-732STR
MoAs Drugs Tablet
Value Proposition
The Once Weekly Single Tablet Regimen
(QW STR)
May offer a completely new treatment option for people
• Living with HIV who seek a better quality of life without the daily
reminders of their HIV status
• And desire for a more discreet, non-invasive way of taking their
medication with the potential to improve treatment adherence, thereby
delaying the emergence of resistance
Program Pre-clinical Phase 1 Phase 2 Collaborator Milestones
BRII-778
Wholly owned
Phase 1 dosed in
March 2021 in US
BRII-732Phase 1 dosed in
May 2021 in US
QW STR
Phase 2b Combo
expected to
initiate in 2H 2022
BRII-732:
a proprietary prodrug of EFdA or islatravir. EFdA functions both as a
potent NRTI and a potent NRTTI
BRII-778:
an extended release (ER) formulation of an FDA-approved NNRTI,
Edurant (rilpivirine hydrochloride)
NNRTI: Non-nucleoside reverse transcriptase inhibitors
NRTI: Nucleoside/nucleotide reverse transcriptase inhibitors
NRTTI: Nucleoside reverse transcriptase translocation inhibitor
3 2 1
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
14
HIV infection
MDR/XDR
gram-negative
infections
Increasing MDR/XDR drives critical unmet clinical needs in China
WHO Priority #1 List for New Drugs:
CRITICAL
• Carbapenem-resistant
Enterobacteriaceae: CRE
• Carbapenem-resistant Acinetobacter
baumannii: CRAB
• Carbapenem-resistant
Pseudomonas aeruginosa: CRPA 3.0 3.4 2.4 4.0 4.9 9.2
9.0 10.0 10.3 11.0
16.4 16.7
21.6
27.6 25.3
2.9 2.6 2.9 3.8 4.8 9.2 9.0
11.8 14.1 14.1 15.1
19.7
25.2 29.5
26.8
32.9 31.7
37.7
52.454.8
61.763.6
61.6 61.965.8 65.7
69.7 70.5
77.1 77.7
41.3 39.942.7
53.657.2
63.5 64.7 66.4 64.869.2
72.9 72.9 73
78.1 79
0
10
20
30
40
50
60
70
80
90
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
% Klebsiella Pneumoniae to Impinem
Klebsiella Pneumoniae to Meropenem
Acinetobacter Baumannii to Impinem
Acinetobacter Baumannii to Meropenem
China has the largest and growing market for antibiotics to treat hospital infections
Drug Resistance Rate to Imipenem and Meropenem
(2005-2019)
Unmet Medical Need and Fields for Innovation
A serious worldwide threat to public health Resistance rates of the two most prevalent carbapenems in China
Source: CHINET, Frost & Sullivan AnalysisPIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
15
MDR/XDR
gram-negative
infections
Brii antibiotics address complicated & life-threatening infections
Program Modality MOA Pre-clinical Phase 1 Phase 2 Collaborator Milestones Clinical Development Plan
BRII-636 IV BLI
Restores activity of multiple
IV carbapenems &
cephalosporins; broadest-
spectrum BLI
Phase 1 started
in Nov 2020
• Phase 1 SAD/MAD study
ongoing in Australia, which will
include a cohort of first- or
second-generation Chinese
subjects
• Plan to join global Phase 3
combination study, inclusive of
China (pending regulatory
feedback)
BRII-672 ORAL BLI
Restores activity of multiple
oral cephalosporins &
carbapenems; broadest-
spectrum BLI
Phase 1 started
in April 2021
• Phase 1 SAD/MAD study
ongoing in Australia
• Plan to join global Phase 3
combination study, inclusive of
China (pending regulatory
feedback)
BRII-693IV Novel
Polymyxin
Disrupts both the outer and
inner membranes of Gram-
negative bacteria; active in
surfactant
Phase 1 started
in June 2021
• Phase 1 SAD/MAD study
ongoing in Australia
• Plan to join global Phase 3 study,
inclusive of China, focusing on
carbapenem resistant infections
*IND submission and clinical studies conducted by Qpex
Brii - Qpex hospital antibiotics portfolio
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
16
MDR/XDR
gram-negative
infections
Brii - Qpex potential best-in-class beta-lactamase inhibitor (BLI)
Inhibitor Combo Stage ESBLsCRE
Serine-Pro
CRE
Metallo-ProCRPA Pseudomonas CRAB Acinetobacter
BRII-636 (QPX-7728) / Undisclosed
IV β-lactam antibiotic Phase 1 ✓ ✓ ✓ ✓ ✓
Tazobactam/ Ceftolozane Approved ✓
Resistant
Resistant
Resistance Emerging
Resistant
Avibactam / Ceftazidime Approved ✓
Resistance Emerging
Resistant✓
Resistant
Vaborbactam / Meropenem Approved ✓
No OXA
Resistant
Possible for resistance
Resistant
Relebactam/ Imipenem Approved ✓
No OXA
Resistant✓
Resistant
Taniborbactam / Cefepime Phase 3 ✓ ✓
No IMP✓
Resistant
Durlobactam / Sulbactam Phase 3
Resistant
Resistant
Resistant
Resistant✓
Broadest Coverage across Gram-negative Pathogens and Enzyme Classes
• β-lactams are a broad class of antibiotics used to treat bacterial infections
• β-lactamases are a family of enzymes produced bacteria to inactivate β-lactams
• BLIs can restore the antibacterial activity of β-lactams
• ESBLs: Extended spectrum β-lactamases
• Serine-Pro: Serine β-lactamases Producing
• Metallo-Pro: Metallo β-lactamases Producing
• No OXA: not effective against OXA-48-producing Enterobacterales
• No IMP: not effective against IMP-producing Enterobacterales
Source: Company informationPIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
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Depression is associated with many CNS and other chronic diseases
Large and growing PPD patient base
for both treatment and prevention
~13% of women within a
year of childbirth
are affected by PPD
Until 2019there were not any
pharmacological
interventions
specifically
indicated for PPD
~25.5% of women who were
previously
diagnosed with PPD
may
experience PPD
after their second
delivery
Luisi et al. J Clin Endocrinol Metab (2000) 85:2429
Postpartum depression affects both woman
health and neonate development
PPD MDD
A CAGR of 7.6% is projected for
global major depressive disorder
drug market during 2019 to 2029
People suffering from
general depression globally
Up to one-third of individuals with a
serious medical condition have
symptoms of depression
7.6%>264
Million 1/3
• There are different types of depression with different causes and
different severities that therefore require different forms of treatment
• Postpartum depression (PPD) is a type of depression that many
new mothers experience after having a baby
The burden of depression is on the rise globally
Approximately 18.9 million women worldwide were affected by PPD in
2019 and the patient base is expected to continue to grow due to
increasing diagnosis and treatment rate
Source: Frost & Sullivan, Company informationPIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
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• Allopregnanolone (also known as brexanolone) is a naturally occurring steroid that acts as a positive
allosteric modulator (PAM) of GABA's action at GABAA receptors
• Toward late gestation, levels of allopregnanolone in a woman’s blood rise gradually to approximately
50ng/mL. But shortly after giving birth, allopregnanolone levels drop precipitously
• PAMs operate by increasing the frequency with which the chlorine channel opens when GABA binds to its
own site on the GABA receptor. This action results in an increase in the Cl- ion concentration in the
postsynaptic neuron and causes immediate hyperpolarization of this neuron, making it less excitable and
thus inhibiting the possibility of an action potential and preventing the release of excitatory neurotransmitters
• Complicated titration and
tapering scheme may
also introduce dosing
errors, sudden changes
in drug concentration,
and associated AEs
such as loss of
consciousness (LoC)
Zulresso (a synthetic version of allopregnanolone) has been
shown to be very effective in the treatment of severe PPD
Zulresso is the only approved therapeutic for PPD…but it is a very complicated treatment option
*HAM-D: Hamilton Depression Rating Scale
Mean changes in HAM-D score*
PPD MDD
Dose titration and tapering
Mechanism of action of Allopregnanolone in PPD
But 60-h continuous iv infusion requires significant in-
patient healthcare resource utilization
Source: Frost & Sullivan, Company information, Sage Therapeutics company presentation PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
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PPD MDDBRII-296: a new treatment paradigm & differentiated value proposition
Program Modality MOA Pre-clinical Ph I Ph III Collaborator Milestones
BRII-296
PPD
Novel long-acting
parenteral formulation
GABAa PAM Wholly ownedPh1 started April 2021
Ph3 to start H1 2022
BRII-296
PPD preventionGABAa PAM Wholly owned Under consideration
BRII-296
MDDGABAa PAM Wholly owned Under consideration
Considerations BRII-296 Zulresso SSRIs
Ease of Administration ✓ ✓
Onset of Drug Efficacy ✓ ✓
Syncope ✓ ✓
Chances of Initial Treatment
Success✓ ✓
Breastfeeding ✓ ✓
Patient Convenience ✓ ✓
Healthcare Resource Utilization ✓ ✓
Adherence ✓ ✓
Directly observed treatment
May offer a new treatment option for people
• Provide a rapid, profound and sustained reduction in depressive
symptoms of postpartum depression while avoiding the substantial
limitation of the currently approved treatment (Zulresso)
• And a directly observed therapy that provides assured adherence and
convenience compared to future oral medications without concern of
drug exposure to breastfeeding infants
Value Proposition
PIPELINE OVERVIEW OUTLOOKCOMPANY OVERVIEW
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Upcoming Milestones and Catalysts
Key events Timing
Hepatitis B
BRII-179 Enrollment Enroll 1st patient into Phase 2 study with BRII-179 and pegylated interferon in China 1Q 2022
BRII-835
Data Final CSR report for Phase 2 study in Mainland China 2H 2021
Data Additional data readout for Phase 2 combo study of VIR-2218 (BRII-835) and PEG-IFNα 2H 2021
Data Initial readout for Phase 2 combo study of VIR-2218 (BRII-835) and VIR-3434 1H 2022
BRII-179/BRII-835 Data Top-line interim clinical data for the Phase 2 combo study 2H 2022
COVID-19 BRII-196/BRII-198Data More comprehensive top-line results from the Phase2/3 ACTIV-2 trial 3Q 2021
Approval Wait for approval of Emergency Use authorization (EUA) in the US 2H 2021
HIV infection
BRII-778 Data Topline data readout for Phase 1 study 4Q 2021
BRII-732 Data Topline data readout for Phase 1 study 1Q 2022
BRII-778/BRII-732 Enrollment Enroll 1st patient into global Phase 2b combo study 2H 2022
MDR/XDR
gram-negative
infections
BRII-636Data Topline data readout for Phase 1 study 1H 2022
Submission China IND filing with a goal to participate in Qpex’s global Phase 3 study 1H 2022
BRII-693Data Topline data readout for Phase 1 study 2022
Submission China IND filing with a goal to participate in Qpex’s global Phase 3 study 2H 2022
PPD BRII-296 Data Topline data readout for Phase 1 study 4Q 2021
Brii Partner
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