Novocure. 37 th annual J.P. Morgan Healthcare Conference January 9, Bill Doyle Executive Chairman
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1 Novocure 37 th annual J.P. Morgan Healthcare Conference January 9, 2019 Bill Doyle Executive Chairman
2 forward-looking statements This presentation contains certain forward-looking statements with respect to the business of Novocure and certain of its plans and objectives, including with respect to the development and commercialization of its lead product candidate, Optune, for a number of oncology indications. These forward-looking statements can be identified in this presentation by the fact that they do not relate only to historical or current facts. Forward-looking statements often use words expect, intend, anticipate, plan, may, should, would, could or other words of similar meaning. These statements are based on assumptions and assessments made by Novocure in light of industry experience and perception of historical trends, current conditions, expected future developments and other appropriate factors. By their nature, forward-looking statements involve risk and uncertainty, and Novocure's performance and financial results could differ materially from those expressed or implied in these forward-looking statements due to general financial, economic, regulatory and political conditions as well as more specific risks and uncertainties facing Novocure such as those set forth in its Annual Report on Form 10-K filed on February 22, 2018, or in subsequent quarterly filings with the U.S. Securities and Exchange Commission. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those described in this presentation. Novocure assumes no obligation to update or correct the information contained in this presentation, whether as a result of new information, future events or otherwise, except to the extent legally required. The statements contained in this presentation are made as at the date of this presentation, unless some other time is specified in relation to them, and service of this presentation shall not give rise to any implication that there has been no change in the facts set out in this presentation since such date. Nothing contained in this presentation shall be deemed to be a forecast, projection or estimate of the future financial performance of Novocure, except where expressly stated. As of the date of this presentation, Optune is only FDA-approved for the treatment of adults with supratentorial glioblastoma, or GBM, and its approval for other indications is not certain. Novocure can provide no assurances regarding market acceptance of Optune or its successful commercialization, and can provide no assurances regarding the company s results of operations or financial condition in the future. This presentation is for informational purposes only and may not be relied upon in connection with the purchase or sale of any security. Novocure
3 a global oncology company with a proprietary platform 2 FDA-APPROVED INDICATIONS 5 INDICATIONS IN LATE-STAGE PIPELINE 140+ ISSUED PATENTS GLOBALLY $248M NET REVENUES FY 2018 >40% REVENUE GROWTH 2018 COMPARED TO 2017 $246M CASH ON HAND
4 2018 key accomplishments ADVANCE OUR PIPELINE STELLAR mesothelioma data presented and submitted to FDA for approval First patient enrolled in PANOVA-3 HEPANOVA open for enrollment Novel algorithms developed to optimize dose delivery DRIVE OPTUNE ADOPTION >40% growth in prescriptions for newly diagnosed GBM $248M net revenues Collaboration with Zai Lab in China National reimbursement in Sweden Substantial progress with Medicare Novocure
5 single mechanism of action provides pipeline in a product PRE-CLINICAL EVIDENCE FIRST IN HUMAN EVIDENCE CLINICAL EVIDENCE FDA APPROVAL CANCERS OF THE CENTRAL NERVOUS SYSTEM CANCERS OF THE CHEST CANCERS OF THE ABDOMEN OTHER Glioblastoma Brain metastases Ependymoma Gliosarcoma Medulloblastoma Meningioma Mesothelioma Non-small cell lung cancer Small cell lung cancer Ovarian cancer Pancreatic cancer Cervical cancer Colorectal carcinoma Gastric adenocarcinoma Liver cancer Renal cell adenocarcinoma Urinary transitional cell carcinoma Breast cancer Malignant melanoma Novocure
6 drumbeat of clinical and regulatory milestones phase II pilot milestones PANOVA data (1 st cohort) anticipated milestones PANOVA data (2 nd cohort) INNOVATE data HEPANOVA data gastric trial data 2016 Today 2022 final EF-14 data LUNAR interim analysis METIS data INNOVATE-3 interim analysis phase III pivotal milestones STELLAR data FDA approval for MPM PANOVA-3 interim analysis LUNAR final data Novocure
7 long-term, quality survival in newly diagnosed GBM The updated NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines ) for Central Nervous System Cancers now include alternating electric field therapy (Optune) in combination with temozolomide (TMZ) following maximal safe resection and standard brain radiation therapy with concurrent TMZ as Category 1 recommended treatment option for patients with newly diagnosed supratentorial glioblastoma (GBM) and good performance status.* There is uniform NCCN consensus for this recommendation based on high-level evidence (Category 1). GBM, glioblastoma; TMZ, temozolomide; OS, overall survival; ITT, intent-to-treat 1. Stupp, R., et al. JAMA Dec 19;318(23): Taphoorn, M.J.B., et al. JAMA Oncol Apr 1;4(4): Novocure
8 with more time on Optune predicting survival benefit 86% of patients received a survival benefit from Optune because they used it more than half the time (n=388/450) TMZ, temozolomide * Based on amount of time Optune was turned on and providing therapy over the course of a month. This data reflects the average patient usage of Optune for the first 6 months of treatment (months 1-6). Approximation, based on monthly usage. vs TMZ alone. Ram Z., Kim C.Y, Nicholas GA and Toms S on behalf of EF-14 investigators. Compliance and treatment duration predict survival in a phase 3 EF-14 trial of Tumor Treating Fields with temozolomide in patients with newly diagnosed glioblastoma. Presented at: 2017 Society for Neuro Oncology; November 16-19, 2017; San Francisco, CA. Oral presentation ACTR-27. Novocure
9 higher energy at tumor bed predicted survival benefit overall survival by energy delivered Higher energy* 25 months n=122 1, p<0.01 Lower energy* TMZ alone median overall survival, months 16 n=229 months 21 n=195 2 months TMZ, temozolomide Dose density defined as a factor of both power loss density and monthly usage of therapy. * Higher energy defined as power loss densities greater than or equal to 1.1 mw/cm 3. Lower energy defined as power loss densities less than1.1 mw/cm % CI 22-37; 76 events, 46 censored 2 95% CI 17-24; 153 events, 42 censored Post-hoc analysis of EF-14 treatment arm patient data. Of the 466 EF-14 treatment arm patients, the analysis reviewed 317 patients with treatment duration >2 months and sufficient MRI quality. Ballo MT, Bomzon Z, Urman N, Lavy-Shahaf G, Toms SA. American Society for Radiation Oncology (ASTRO) 2018 Annual Meeting. Poster Presentation Correlation of TTFields Dose Density and Survival Outcomes in Newly Diagnosed Glioblastoma: A Numerical Simulation-Based Analysis of Patient Data from the EF-14 Randomized Trial. Poster Presentation 1110: Tuesday, Oct. 23, 2018, 4:57 p.m. CDT Stupp, R., et al. JAMA Dec 19;318(23): Novocure
10 dose density = time on therapy x energy overall survival by dose in newly diagnosed GBM higher energy* and hours/day higher energy* and hours/day higher energy* and <18 hours/day lower energy* TMZ alone months n=229 median overall survival, months 23 n=42 3 n= n=44 2 months months months 37 n=36 1 months TMZ, temozolomide CI; confidence interval Dose density defined as a factor of both power loss density and monthly usage of therapy. * Higher energy defined as power loss densities greater than or equal to 1.1 mw/cm 3. Lower energy defined as power loss densities less than1.1 mw/cm % CI 21-48; 23 events, 13 censored 2 95% CI 18-39; 29 events, 15 censored 3 95% CI 19-44; 24 events, 18 censored 4 95% CI 17-24; 153 events, 42 censored Post-hoc analysis of EF-14 treatment arm patient data. Of the 466 EF-14 treatment arm patients, the analysis reviewed 317 patients with treatment duration >2 months and sufficient MRI quality. Ballo MT, Bomzon Z, Urman N, Lavy-Shahaf G, Toms SA. American Society for Radiation Oncology (ASTRO) 2018 Annual Meeting. Poster Presentation Correlation of TTFields Dose Density and Survival Outcomes in Newly Diagnosed Glioblastoma: A Numerical Simulation-Based Analysis of Patient Data from the EF-14 Randomized Trial. Poster Presentation 1110: Tuesday, Oct. 23, 2018, 4:57 p.m. CDT Stupp, R., et al. JAMA Dec 19;318(23): Novocure
11 potential to further improve efficacy via engineering Tumor Treating Fields effect is usage and energy dependent EF-14 post-hoc analysis confirmed increased energy associated with improved overall survival New algorithms developed to enable optimized treatment planning Improved transducer arrays in development Ballo M, Bomzon Z, Urman N, Lavy-Shahaf G, Toms S. Higher Doses of TTFieds in the Tumor Are Associated With Improved Patient Outcome. Neuro-Oncology, Volume 20, Issue suppl_6, 5 November 2018, Pages vi21 vi22, Novocure
12 HDE application submitted to FDA for unresectable malignant pleural mesothelioma (MPM) Significant extension in overall survival versus historical control 18.2 month median overall survival for Optune plus chemotherapy 12.1 month median overall survival in historical control No significant increase in serious adverse events Cerasoli, G.L. International Association for the Study of Lung Cancer. MA STELLAR Final Results of a Phase 2 Trial of TTFields with Chemotherapy for First-Line Treatment of Malignant Pleural Mesothelioma. Mini Oral Abstract Session: Mesothelioma Surgery and Novel Targets for Prognosis and Therapy. Tuesday, Sept. 25, 2018, 10:30 p.m. ET. 1. Vogelzang N.J., et al. J Clin Oncol Jul 15;21(14): Novocure
13 established international presence UNITED STATES 29% estimated penetration EMEA 27% estimated penetration CHINA JAPAN 14% estimated penetration license agreement September 2018 Considers Q active markets: Germany, Austria, Israel and Switzerland Information above as of December 31, Estimated penetration assumes 72.% fill rate on Q4 prescriptions. See Novocure s Form 10-K filed on February 22, 2018 for additional detail Novocure
14 track record of commercial execution global net revenues (USD in thousands) $300,000 $250,000 $248,017 $248M $200,000 $177,026 FULL YEAR 2018 NET REVENUES $150,000 $100,000 $50,000 $0 $82,888 $33,087 $10,359 $15, >40% REVENUE GROWTH 2018 COMPARED TO 2017 U.S. net revenues EMEA net revenues Japan net revenues China upfront licensing fee See Novocure s Form 8-K filed on or around Jan. 7, 2019 for additional detail Novocure
15 glioblastoma is tip of the iceberg potential to significantly expand total addressable market = 5,000 cases diagnosed annually in the U.S. Glioblastoma (GBM) Mesothelioma (MPM) Brain metastases from non-small cell lung cancer Non-small cell lung cancer Pancreatic cancer Ovarian cancer GBM TODAY ~1 YEAR ~3 YEARS ~5 YEARS See Novocure s Form 10-K filed on February 22, 2018 for additional detail Novocure
16 cash flow from GBM business largely funding R&D investments $246M Steve is an Optune user Actor portrayal CASH ON HAND AT 2018 YEAR END Actor portrayal Novocure
17 robust intellectual property portfolio 140+ ISSUED PATENTS GLOBALLY AS OF DECEMBER 31, 2018 Layered patent strategy Expiration dates as late as 2036 Numerous patents pending worldwide PMA approval pathway Novocure
18 Novocure is working to Advance our pipeline Drive Optune adoption Invest in our people and culture extend survival in some of the most aggressive forms of cancer Create shareholder value Novocure
19 Optune indications for use and important safety information for GBM INDICATIONS Optune is intended as a treatment for adult patients (22 years of age or older) with histologically-confirmed glioblastoma multiforme (GBM). Optune with temozolomide is indicated for the treatment of adult patients with newly diagnosed, supratentorial glioblastoma following maximal debulking surgery, and completion of radiation therapy together with concomitant standard of care chemotherapy. For the treatment of recurrent GBM, Optune is indicated following histologically-or radiologically-confirmed recurrence in the supratentorial region of the brain after receiving chemotherapy. The device is intended to be used as a monotherapy, and is intended as an alternative to standard medical therapy for GBM after surgical and radiation options have been exhausted. CONTRAINDICATIONS Do not use Optune in patients with an active implanted medical device, a skull defect (such as, missing bone with no replacement), or bullet fragments. Use of Optune together with implanted electronic devices has not been tested and may theoretically lead to malfunctioning of the implanted device. Use of Optune together with skull defects or bullet fragments has not been tested and may possibly lead to tissue damage or render Optune ineffective. Do not use Optune in patients that are known to be sensitive to conductive hydrogels. In this case, skin contact with the gel used with Optune may commonly cause increased redness and itching, and rarely may even lead to severe allergic reactions such as shock and respiratory failure. Novocure
20 Optune indications for use and important safety information for GBM WARNINGS AND PRECAUTIONS Optune can only be prescribed by a healthcare provider that has completed the required certification training provided by Novocure (the device manufacturer). Do not prescribe Optune for patients that are pregnant, you think might be pregnant or are trying to get pregnant, as the safety and effectiveness of Optune in these populations have not been established. The most common ( 10%) adverse events involving Optune in combination with temozolomide were thrombocytopenia, nausea, constipation, vomiting, fatigue, medical device site reaction, headache, convulsions, and depression. The most common ( 10%) adverse events seen with Optune monotherapy were medical device site reaction and headache. The following adverse reactions were considered related to Optune when used as monotherapy: medical device site reaction, headache, malaise, muscle twitching, fall and skin ulcer. Use of Optune in patients with an inactive implanted medical device in the brain has not been studied for safety and effectiveness, and use of Optune in these patients could lead to tissue damage or lower the chance of Optune being effective. If the patient has an underlying serious skin condition on the scalp, evaluate whether this may prevent or temporarily interfere with Optune treatment. Novocure
21 Novocure
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