george yeh, president - mops.twse.com.twmops.twse.com.tw/nas/str/415220170515e001.pdf · •...
TRANSCRIPT
Investors Conference (4152)
George Yeh, President
Our Specialty Technology
Indications
Platforms
Products
History
About TLC
Lipid-Assembled
Nanomedicine
Delivery
Patents
~100
10+ 3 on market 4 Clinical
5+ Small ~ large molecules
Minutes ~ months
Oncology
Ophthalmology
Pain Management
Targeted Delivery
Sustained Release
Locations
Taiwan, US, Europe, Japan,
Australia, China
1997 Founded
2012 IPO
MSCI
2
Lipid-Assembled Delivery
• Toxicity/solubility
• Proprietary loading
Lipophilic Domain
Aqueous Core
Design delivery strategies for both small and large molecules
3
Route of administration • Intravenous
• Intravitireal • Intraarticular
• Subcutaneous
Cytotoxic/Molecular Targeting
Tissue Targeting
Cellular Targeting
Cellular Targeting with Toxin
Tissue Targeting + Cellular Targeting
More Effective Targeting
• CTCL, RMS • Lowers toxicity, reduces side effects • Fewer injections
TLC178 (Ph1/2)
• Hepatocellular carcinoma & rectal cancer
• Solves insolubility & toxicity
TLC388 (Ph2)
• Cancer • Targeted delivery of
immunoliposomes with antibody
TLC520
4
Sustained Release Delivery
5
• Multilamellar and multivesicular for extended release
• Capable of containing both small and large molecules
• Function of large biologic molecule therapeutics are not compromised
• Lipid membrane can keep a drug trapped over long periods of time
Small molecule
drug
Large molecule
drug
Multilamellar structure
Lipid-Extended Release Technology (L-ERT)
6
Intravitreal application
• Indications: Age-Related Macular Degeneration,
Diabetic Macular Edema, Retinal Vein Occlusion
• Targeting 1 injection/6 months
• Phase II in progress
Intraarticular application
• Indications: Osteoarthritis, Rheumatoid
Arthritis, Musculoskeletal injuries
• Targeting 1 injection/3-4 months
• Phase II in progress
Applications of our proprietary platform can be
expanded to other tissues in the human body
Discovery Development Phase I Phase II Phase III
Oncology
TLC388 HCC with PVTT
Rectal cancer
TLC178 CTCL/RMS
TLC520 Various cancers
Three Main Areas of Focus
7
Targ
ete
d D
eliv
ery
Ophthalmology
TLC399 Macular edema
Pain/Osteoarthritis
TLC599 Osteoarthritis
TLC590 Local anesthetic
Sust
ain
ed
Re
leas
e
Clinical Trial Advancements
• TLC599 Phase 1/2 completed (knee OA)
• TLC599 Phase 2 commenced (kneed OA) (TW/AU)
• TLC399 Phase 2 commenced (macular edema) (US)
• TLC388 Phase 2 (HCC with PVTT) (TW/CN)
• TLC177 BioEquivalence completed (Breast & Ovarian
Cancers) (EU)
Approvals
• TLC178 IND (Lymphoma) (TW/US)
• TLC178 ODD (CTCL) (US)
Milestones Achieved in 2016
8
TLC599
Treatment Scheme for Knee OA
10
Filling the Market Gap
Existing treatments
Patient needs Unmet Medical
Needs
Steroids
• Max. 3-4 injections/year
• Efficacy of 1-2 weeks only
• Chondrotoxicity
Hyaluronic Acid
• Lack of outstanding efficacy
Opioids
• Addictive
• Can be lethal
4.2M patients (US)
1M patients (US)
11
• Fast acting
• Sustained pain relief
• Effective pain management
• Fewer side effects
• Non-addictive
14 million people suffering from OA in the US
Liposome encapsulated steroid
Triamcinolone Acetonide (TA) • Crystal form
Dexamethasone (DSP) • Water soluble
Formulation PLGA BioSeizer
Pricing ~US$500/injection ~US$500/injection
Timeline • FDA NDA • Estimated approval Q3
2017
• Phase 2 clinical • Estimated NDA by 2020
Company Market Value
US$615M US$215M
Zilretta vs. TLC599
• Aggregation in joints
• Chondrotoxicity
• Manufacturing costs
• Release profile
12
FLXN 4152
Platform Comparison
Technology Platform Polymer-based BioSeizer
Range Small or large
molecule drugs Small and/or large
molecule drugs
Biodegradability Yes (PLGA)
No (DVE/EVA) Yes
Biocompatibility Yes Yes
Risk of Denaturing & Aggregation
High None
Sterile Production Required Not Required
Final Sterilization Radiation Filter
Risk of Foreign Particulates High None
Needle Gauge Size > 27 G < 30 G
• Speed of onset
• Sustainability
BioSeizer has a better releasing profile & lower cost of production 13
Greatly impacts
manufacturing costs
TA Issue #1: Aggregation in Joints
PLGA Aggregates may accelerate TCA
Release shorter efficacy span &
aggregation at joint
Inability to increase dosage Limitation on sustainability 14
TA Issue #2: Efficacy & Sustainability
0
5
10
15
20
25
30
35
40
0 4 8 12 M
ean
sco
re
Week
TLC599
Group A (6 mg DSP, n=20)
Group B (12mg DSP, n=20)
Zilretta
WOMAC Index
TLC599 shows faster onset and sustained release capabilities
Onset close to Week 4
Onset at Week 1 Effect dissipates after 12 weeks
Sustained effect past 12 weeks
15
Phase 2 Study Design
Single Dose Treatment
Screening Day-14 to
Day-1 (n=72)
Group C TLC599 single dose IA
injection (18 mg DSP with 150 μmol PL)
(n=24)
Group B TLC599 single dose IA injection (12 mg DSP with 100 μmole PL)
(n=24)
Evaluation of Safety & Efficacy
• Day 0
• Week 1
• Week 4
• Week 8
• Week 12
• Week 16
• Week 20
• Week 24
Random
ization
Screening period (-14~-1 days)
Treatment period (Day 0)
Follow-up Period
(24 weeks)
Group A Placebo
(normal saline) (n=24)
16
TA Issue #3: Chondrotoxicity
Safranin O
2 wks 4 wks 8/9 wks
Toluidine Blue
Rat OA
Toluidine Blue
BioSeizer Vehicle GLP Study
TLC599 High Dose (1.2mg)
GLP Study
No proteoglycan and cartilage damage from GLP study, signaling lack of chondrotoxicity in both TLC599 and BioSeizer Vehicle
Yellow brackets indicated cartilage damage and chondrocyte loss
Rat OA data adapted from Lai YJ et al Ann Rheum Dis. 2014 17
2012 2013 2014 2015 2016
NDA Application
12/12/2016 ~1y
4 mths 9 mths 15 mths
12 mths
Ph2 • AU • n=24 • Groups: 10, 40, 60mg & TCA IR 40 mg • Study evaluation period: 6 wks
Ph2b • AU/CA/US • n=229 • Group: 10, 40, 60mg & TCA IR 40 mg • Study evaluation period: 12 wks
Ph2a •PK study • Groups: 10 or 40 • Study evaluation period: 20 wks
Ph2b • US • n=310 • Groups: 20, 40mg & saline • Study evaluation period: 24 wks
Ph3 • US • n=486 • Groups: 40 mg, TCA IR 40 mg, and saline • Study evaluation period: 24 wks
PD/PK: Sustained Release PK: Safety & Sustained Release
Efficacy: POC
Efficacy: Pivotal
Efficacy: Pivotal
Zilretta Study Design
18
2016 2017 2018 2019 2020
~15 mths
9 mths
Ph2b • AU/TW • n=72 • Group: Placebo, 12mg, 18mg • Study evaluation period: 24 wks
Ph1/2a • TW • n=40 • Groups: 6 , 12 mg • Study evaluation period: 12 wks
Ph2b (Pivotal)
Ph3 (Pivotal)
Efficacy
TLC599 Study Design
Safety & Efficacy
Ph2a (PK study )
NDA Application (Asia)
19
NDA Application (US)
Commonly Used OA Treatments
Zilretta
• There are 14M* annual patients with knee OA, of which 5.2M are treated with IA injection
(steroids & hyaluronic acid)
• 4.2M patients are on steroid injections; 1M are on HA
• By conservative calculation, assuming patients who are on steroids receive 1 injection every 6
months, annual total injection will be 8.4M
• 1 injection is ~US$500
U.S. Steroid knee OA injections market is approximately US$4.2B
* IMS 2014
20
TLC399
Competitive Landscape
Age-related macular degeneration (AMD)
Diabetic macular edema (DME)
Retinal vein occlusion (RVO) Posterior uveitis
Retinal Diseases
A progressive eye condition affecting roughly 1.75 million Americans
Caused by leakage of fluid from small blood vessels in the eye. An increased expression of VEGF can escalate the leakage and vascular permeability. Visual impairment due to DME affects approximately 1~3% diabetes patients
Approximately 16 million people worldwide may have retinal vein occlusion. superficial hemorrhages, retinal edema, and often cotton-wool spots in a sector of retina drained by the affected vein.
Visudyne Macugen Lucentis
Eylea Avastin
Lucentis
Eylea Illuvein
Ozurdex
Lucentis Eylea
Ozurdex
Triesence
Trivaris Ozudex Retisert
Inflammation in the back of the eye is commonly characterized by floaters, blurred vision, photopsia or seeing flashing lights. The prevalence of uveitis in the general U.S. population is 38 per 100,000 persons, with the mean onset at 30.7 years of age.
Least Crowded Space
Retinal Diseases
22
Drug/ Mechanism
Anti-VEGF Anti-VEGF Steroids
(implanted) Steroids
Efficacy 1 month 2 months 2-3 months 4-6 months
Price/inj. US$2,000 US$1,850 US$1,400 US$1,400 ~
US$2,000
No. of injections (2015)
1,030,000 1,450,000 40,000
No. of injections (2016)
917,500 1,800,000 60,000
Competitor Analysis
24% 50% 11%
10%
2.52M inj.
2.78M inj.
23
Ozurdex Issue: Implant
Implants must be surgically removed after approximately 3 injections
22 gauge Needle
24
1.2 mg TLC399 0.6 mg TLC399
0.7 mg
0.35 mg
TLC399 Released dexamethasone in rabbit’s vitreous
Ozurdex Released dexamethasone in rabbit’s vitreous
25
TLC399 vs. Ozurdex Efficacy
TLC399 showed significantly longer efficacy at LLoQ than Ozurdex
LLoQ
• No adverse effects
• Improved/stabilized vision for 9 months and beyond
• Improved OCT results for 9 months and beyond
• Phase 2 study underway (US)
TLC399 Phase 1/2 Study
26
Phase 2 Study Design
Single Dose Treatment
Screening Day-14 to
Day-1 (n=66)
Group C TLC399 single dose injection (0.6 mg DSP with 50 mM PL
(50 µL)) (n=22)
Group B TLC399 single dose injection (0.6 mg DSP with 100 mM PL
(50 µL)) (n=22)
Evaluation of safety & Efficacy
Random
ization
Screening period (-14~-1 days)
Treatment period (Day 0)
Follow-up Period (12 months)
Group A TLC399 single dose injection (0.36 DSP with 100 mM PL
(30 µL)) (n=22) • Day 0
• Week 2
• 1 Month
• 2 Months
• 3 Months
• 4.5 Months
• 6 Months
• 7.5 Months
• 9 Months
• 12 Months
Interim Analysis (2018.H2)
27
TLC399 + Anti-VEGF
Days post ITV
7 28 49 70 91 112
Anti-V
EG
F a
ntibody C
on
c. in
vitre
ou
s (
g/m
l)
0.1
1
10
100
1000
Anti-VEGF antibody alone
Anti-VEGF antibody/TLC399
Efficacy diminishes around Day 30
Combination showed efficacy at Day 112
Efficacy of Anti-VEGF can be significantly prolonged from 1-2 month to 4-6 months when used in conjunction with TLC399
28
Strategy
Age-related macular degeneration (AMD)
Diabetic macular edema(DME)
Retinal vein occlusion (RVO) Posterior uveitis
Approximately 2.78M injections were administered for retina diseases in the U.S. in 2016, valuing at US$5.3B
16.4M patients in US
1~3%diabetes
patients 1.75M patients in US
1 National Eye Institute (NEI) 2US National Library of Medicine National Institutes of Health
29
TLC178
• Vinorelbine Tartrate Liposome Injection Product
• Rhabdomyosarcoma (RMS) • Cutaneous T-cell Lymphoma (CTCL) • Other solid tumors
Indications
• Phase 1/2 in TW & US Development
Stage
• (RMS) Vinorelbine
• (CTCL) Istodax/Romidepsin Current Treatment
• US Pediatric Rare Disease Designation in RMS
• US Orphan Drug Designation in CTCL Regulatory Route
• Lower toxicity
• Fewer administrations
Competitive
Advantage
TLC178 – IND Approval
Rhabdomyosarcoma (RMS)
Cutaneous T-Cell Lymphoma (CTCL) 31
Current Treatments
• Surgery
– Only applicable if it doesn’t lead to disfigurement, functional compromise, or organ dysfunction
– Difficult to remove all tumor cells
– Either chemotherapy or radiation is to follow
• Chemotherapy
– Vincristine in conjunction with other drugs or vinorelbine, as listed by NCCN
• Radiation
– used in conjunction with surgery to maximize local tumor control
32
NCCN Guidelines
Vinca alkaloids including Vinorelbine and Vincristine are listed by NCCN as standard treatments for RMS
33
Vinorelbine on RMS
NIH-PA Author ManuscriptNIH-PA Author ManuscriptNIH-PA Author Manuscript
Ku
ttesch et al.
Pag
e 8
Table II
Response to Vinorelbine by Tumor Type
Soft Tissue Sarcoma CNS Tumor Neuroblastoma Total
RMS Non-RMS
Complete Response 1 0 0 0 1 (2%)
Partial Response 3 0 2 0 5 (10%)
Stable Disease 6 3 3 3 15 (30%)
Progressive Disease 1 6 17 5 29 (58%)
Total 20 22 8 50
Abbreviations: RMS, RMS; Non-RMS, non-RMS
Ped
iatr B
loo
d C
an
cer. Au
tho
r man
uscrip
t; availab
le in P
MC
20
10 O
ctob
er 1.
Vinorelbine is proven to be effective in treating RMS
10 out of 11 patients with RMS achieved SD or better
Source: Phase II Evaluation of Intravenous Vinorelbine (Navelbine) in Recurrent or Refractory Pediatric Malignancies: A Children's Oncology Group Study
34
Issue with Vinorelbine: High Toxicity
Results
Pretreatment and demographic characteristics of the fifty patients who were enrolled in this
trial are presented in Table I. The study was closed to accrual after the STS stratum was
complete. The median number of courses delivered among these 50 patients was one,
ranging one to 10. Six patients had an objective response, including 1 complete response
(CR) and 5 partial responses (PR). (Table II) Responses in all patients were achieved after
the first course of therapy. Among 20 patients in the STS stratum, the responders (1 CR and
3 PR) occurred among 11 patients with RMS, for an overall response rate in RMS of 36%
(4/11). Among these 4 responders, 3 had alveolar RMS (of 5 enrolled) and one had RMS not
otherwise specified (NOS). No responses were observed among 3 patients with embryonal
RMS. The primary involved site of the patient with CR was Head/Neck; the primary
involved site for patients achieving a PR included upper extremity, lower extremity and
thorax. The duration of response was 2 courses (CR, 2 PR) and 3 courses (1 PR). There were
no responses among the 9 patients with non- RMS STS that included six patients with
sarcoma NOS, two with synovial sarcoma and one with primitive neuroepithelial tumor.
Overall, the median number of courses received for all 20 patients in the STS stratum was 2
(range 2 to 10). One of 2 patients with medulloblastoma achieved a PR and completed all 10
courses of therapy. One of 4 patients with astrocytoma achieved a PR which was sustained
over 3 courses of therapy. There were no responses among the 16 patients enrolled in the
other CNS substratum. There were also no responses among the 8 patients with NB.
Toxicities
The major toxicity demonstrated in this study was hematological. Among the first 35
participants who received vinorelbine at a dose of 33.75 mg/m 2, 25 experienced grade 3 or 4
neutropenia during the initial 2 courses of therapy (75%). Nine of these participants,
including 5 with initial bone marrow involvement of disease, required delay in therapy and/
or dose modification (26%). The protocol was amended at that time to reduce the starting
dose of vinorelbine to 30 mg/m2. After this change, ten of the subsequent 15 participants
developed grade 3 or 4 neutropenia (67%); however, none of these participants required a
dose delay or modification. Anemia was the second most common toxicity among
participants (20%). Grade 3 sensory neuropathy occurred in four patients (8%). No deaths
occurred among participants while enrolled on the study. Therapy was administered through
central venous access in all patients. No cases of extravasation necrosis were reported. Two
patients died of progressive disease within 30 days of terminating protocol therapy.
Discussion
Vinca alkaloids are among the most active groups of agents for childhood cancer therapy
(15). The major clinical problems with these alkaloids are dose-limiting neurotoxicity,
especially peripheral and autonomic neuropathies, risk of extravasation necrosis, and limited
route of delivery (intravenous). Vinorelbine has been associated with less neurotoxicity and
an established therapeutic activity against adult cancers, particularly breast carcinoma and
non-small cell lung carcinoma (3-5) and the potential of oral administration (11). Of
additional interest was that preclinical data suggested activity in pediatric brain tumors ( 16).
Results from the Children's Cancer Group phase I trial of vinorelbine suggested that this
agent may have activity in RMS and brain tumors (11). This information was the basis to
evaluate vinorelbine further in a phase II trial among children and adolescents with recurrent
malignancies.
Disease response was documented in this study among participants with recurrent RMS (4
cases), medulloblastoma and astrocytoma. Our observations regarding RMS are similar to
the reports by Casanova et al (17,18) and Epelman et al (19). Our observation on the activity
Kuttesch et al. Page 4
Pediatr Blood Cancer . Author manuscript; available in PMC 2010 October 1.
NIH
-PA
Au
tho
r Ma
nuscrip
tN
IH-P
A A
uth
or M
anu
scrip
tN
IH-P
A A
uth
or M
an
uscrip
t
Source: Phase II Evaluation of Intravenous Vinorelbine (Navelbine) in Recurrent or Refractory Pediatric Malignancies: A Children's Oncology Group Study
35
High Toxicity in Vinca Alkaloids
Vincristine Vinblastine Vindesine Vinorelbine TLC178 TTP
Standard adult dose range (mg/m
2/wk)
1–2 6–8 3–4 15–30 ↑ Dosage / ↓ Injections ↑ Tumor exposure
Pharmacokinetic behavior
Triphasic Triphasic Triphasic Triphasic
Plasma half-lives ↑ Circulation Time ↑ Tumor exposure
α (min) < 5 < 5 < 5 < 5
β (min) 50–155 53–99 55–99 49–168
γ (h) 23–85 20–64 20–24 18–49
Clearance (L/h/kg) 0.16 0.74 0.25 0.4–1.29 ↓ Clearance ↑ Tumor exposure
Primary route Hepatic metabolism and biliary elimination
Hepatic metabolism and biliary elimination
Hepatic metabolism and biliary elimination
Hepatic metabolism and biliary elimination
Unchanged
Principal toxicity Neurotoxicity, Constipation, SIADH
Neutropenia, alopecia, neurotoxicity, mucositis
Neutropenia, alopecia, neurotoxicity
Neutropenia, lower neurotoxicity, vomiting, constipation, mucositis
↓ Toxicity ↑ Quality of Life
Rowinsky E. The Vinca Alkaloids; Holland-Frei Cancer Medicine. 6th edition. http://www.ncbi.nlm.nih.gov/books/NBK12718/ 36
• Reduced myelosuppressive side-effects compared to vinorelbine
• Higher vinorelbine concentration at neovascular-rich and subcutaneous tumor sites
• Regulatory advantages from Orphan Drug Designation & possibility at Priority Review Voucher with Rare Pediatric Disease Designation
• Broadened indications beyond: – Non-small cell lung cancer
– Metastatic breast cancer
– Head and neck cancer
Advantages of TLC178
37
Toxicity Profile from Prototype
Total (N = 22)
Maximum CTC Grade
I II III IV V
Anemia 1 (4.5%) 0 1 0 0 0
Leukopenia 3 (13.6%) 0 2 0 1 0
Thrombocytopenia 1 (4.5%) 0 1 0 0 0
Malaise 1 (4.5%) 1 0 0 0 0
Syncope 1 (4.5%) 0 0 1 0 0
Anorexia 2 (9.1%) 1 1 0 0 0
Gastrointestinal Hemorrhage
1 (4.5%) 0 0 0 1 0
Glossitis 1 (4.5%) 0 1 0 0 0
Weight Loss 1 (4.5%) 0 1 0 0 0
Ataxia 1 (4.5%) 0 1 0 0 0
Rash 9 (40.9%) 2 3 4 0 0
Acne 1 (4.5%) 0 1 0 0 0
Skin Ulcer 1 (4.5%) 0 1 0 0 0
Only 1 case of Grade III or IV toxicity in TLC178
He
ma
tolo
gic
al
38
Vs. 75% in Vinorelbine
TLC178 vs. Vinorelbine PK Profile
TLC178 Vinorelbine* Ratio
Dose (mg/m2) 18.5 23 20 25
Cmax (ng/ml) 10883 ± 3647 14198 ± 5356 584 ± 304 784 ± 217 18X
AUCinf (h*ng/ml) 647071 ± 385214 900874 ± 605081 592 ± 160 734 ± 217 1000X
T1/2 (h) 29.5± 15.8 33.9 ± 16.0 23 ± 7.7 24.8 ± 10.6 --
CL (L/h/kg) 0.0022 ± 0.0044 0.0016 ± 0.0022 0.15 ±
0.09 0.15 ± 0.08 50-100X
Vd (L/kg) 0.082 ± 0.141 0.057 ± 0.046 13.2 ± 3.9 15.7 ± 6.3 150-300X
* Cancer Chemother Pharmacol. 2004 Sep;54(3):193-205. Epub 2004 May 25.
39
Vinorelbine Dosing Frequency
D1 D8 D15
WK 1 WK 2 Rest Week Vinorelbine
40
D1
WK 1 WK 2 WK 3 TLC178
WK 4
WK 4
Dr. Conley MD Anderson
70% of the patients came from other states of US, therefore, longer dosing interval is beneficial for patients
MD Anderson treats 75 RMS patients each year. There are 350 new RMS patients in the U.S. every year.
TLC178 vs. Vinorelbine Efficacy
Mean Tumor Growth
Days after tumor inoculation
10 20 30 40 50 60 70 80
Tu
mo
r V
olu
mn
(m
m3)
0
200
400
600
800
1000
1200
1400
1600
1800
2000
Saline
Free VNB
L-VNB
Time of drug injection (iv 5 mg/kg,q3dx4)
TLC178 can control tumor growth more effectively than free vinorelbine
41
Clinical Trial & Regulatory Pathway
3 patients
0/3 DLT
Escalate Dose
1/3 DLT
Add 1~3 patients at the
same dose
1/6 DLT
Escalate Dose
2/4, 2/5 or 2/6 DLT
De-escalate Dose
2/3 DLT
De-escalate Dose
MTD
MTD
CTCL (ODD)
RMS (PRD)
3+3 Dose Escalation: ~ 54 patients
Pivotal PMS ODD NDA (Accelerated
approval)
Stage 2: 15 Lymphoma patients
Pivotal PMS ODD NDA (Accelerated
approval)
Rare Pediatric Disease Priority Review Voucher (PRV)
42
Value of Priority Review Voucher
43
Strategies
NCE vs. New Formulation Drugs
505(b)1 2-5 yrs 1-5 years 8-15 years 11-25 yrs
Regulatory Pathway
Discovery Non-clinical Clinical Total Development Time
505(b)2 <1-3 yrs <1-2 yrs 2-5 years 4-10 yrs
TLC388
TLC520
• Relatively short development
time
• Known API safety profile
• Clear benchmarks for clinical
efficacy
• Fulfilling market gap
TLC599
TLC399
TLC178
TLC590
NCE
New Formulation
45
Screening & Clinical Mechanisms
Physicochemical evaluation
Proprietary Screening studies
in vivo PK study confirmation
Pre-Clinical in Taiwan
CPoC
Feasibility Study
1 IND /
year
Oncology - TLC388 (Ph2, HCC)
Oncology
-TLC388 (Ph 2, HCC)
- TLC178 (Ph1/2, RMS)
Ophthalmology
-TLC399 (Ph2, RVO)
Pain Management
-TLC590 (local anesthesia)
-TLC599 (Ph3, OA) planned
Pain Management -TLC599 (Ph2, OA)
46
Product Development Strategy
Current Treatment(s)
Market Needs
Market Gap
• Longer acting • Enhanced efficacy
•Less side effects (e.g. addiction)
Improved Formulation
• Non-clinical packages • Clinical trial designs
Regulatory Pathway
• Clinical Practice Physician Outreach
Market
TLC Core Value & Competence
Follow existing player for speedier access to market
47
Clinical Advancements
• TLC388 HCC with PVTT Phase 2 (2017)
• TLC178 Phase 1/2 (2017)
• TLC388 New Indication Phase 2 (2017.1H)
• TLC599 Phase 2 data (2018.1H)
• TLC399 Phase 2 interim data (2018.2H)
• TLC590 Phase 1/2 (2018)
Submission
• ANDA for NBCD (2017.1H)
• More ODD for TLC178 (2017.1H)
• TLC590 IND
Near Term Project Milestones
48
Approval
TLC178 Rare Pediatric Disease for RMS (US)
+886.2.2655.7377
+886.2.2655.7366
www.tlcbio.com
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