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Karolinska Development
3Q 2012 Conference Call – November 22, 2012
Torbjörn Bjerke, CEO
Today’s Presentation

          Third Quarter Highlights

          Selected Portfolio Companies

          Financial Information

          Summary




2
Karolinska Development in Summary

      Exclusive access to top class medical innovations
      First-in-class drug candidates with multi billion dollar
       sales potential
      Significant clinical progress – 15 projects in clinical
       phase, 11 in the active portfolio
      Large portfolio of companies removes binary risk –
       25 companies, 34 projects
      Cash position provides funding through major
       clinical data
      Strong focus on business development activities
       across the portfolio


3
Highlights During and After the Third Quarter 2012


 Pergamum reported top-line Phase II data from the clinical trial on the
  prevention of post-surgical adhesions

 The first patient was dosed with Pergamum’s drug candidate LL-37 for
  treatment of hard-to-heal wounds

 Aprea announced positive data from a Phase I/II clinical study with APR-246 in
  patients with advanced cancers
The Portfolio has a Significant Market Potential
                                                               Concept        Lead         Lead        Preclinical
                                                Ownership*                                                           Phase I   Phase II   Phase III     Launch
       PHARMACEUTICALS                                       development   discovery   optimization   development

       ONCOLOGY
       Axelar AB                                   50%
       Aprea AB                                    69%
       KDev Oncology AB (AKN-028)                  90%
       KDev Oncology AB (GliGene)                  44%


       DERMATOLOGY
       Pergamum AB (DPK-060, infected eczema)      62%
       Pergamum AB (DPK-060, external otitis)      62%
       Pergamum AB (PXL01)                         62%
       Pergamum AB (LL-37)                         62%

       WOMEN’S HEALTH
       Dilafor AB                                  55%
       Pharmanest AB                               60%
       Umecrine Mood AB                            43%

       INFECTIOUS DISEASE
       Dilaforette AB                              66%
       Biosergen AS                                60%

       CARDIOVASCULAR
       Athera Biotechnologies AB (Annexin A5)      65%
       Athera Biotechnologies AB (PC-mAb)          65%

       CNS
       BioChromix Pharma AB                        76%
       Umecrine Cognition AB                       54%

       INFLAMMATION
       NovaSAID AB                                 89%

       OPHTHALMOLOGY
       Clanotech AB                                88%
                                                                                                                                                  Solid colored area = completed phase
                                                                                                                                                  Shaded colored area = ongoing phase
                                                   *Including indirect ownership. Ownership in Axelar and GliGene shown after
                                                     all tranches in recent investment round. Ownership in Aprea after share
                                                                                 swap transaction.
5
The Portfolio has a Significant Market Potential



    TECHNOLOGY                              Ownership*   Concept development      Prototype           Development      Product               Sales

    IMPLANTS
    Promimic AB                                28%
    Oss-Q AB                                   16%

    DIAGNOSTICS
    Athera Biotechnologies AB (CVDefine®)      65%
    BioChromix AB                              14%

    PHARMACEUTICAL FORMULATION
    Inhalation Sciences Sweden AB              75%
    XSpray Microparticles AB                   62%
    Lipidor AB                                 46%

    MEDICAL EQUIPMENT
    NeoDynamics AB (Fourier/AS)                21%
    NeoDynamics AB (Therapy/PRFA)              21%




                                                                                                                    Solid colored area = completed phase
                                                                                                                    Shaded colored area = ongoing phase



                                                                      *Including indirect ownership



6
Portfolio Focus in 2012 and 2013
                     Axelar – AXL1717 for NSCLC                            Initiate Phase II                 
                     Akinion – AKN-028 for AML                             Initiate clinical studies         
         ONCOLOGY    Aprea – APR-246                                       Complete Phase I/II               
                     Akinion – AKN 028                                     Complete Phase I/II
                     Axelar – AXL1717 for NSCLC                            Complete Phase II

                     Pergamum – DPK-060 for external otitis                Initiate Phase II                 
                     Pergamum – LL-37 for chronic wounds                   Initiate Phase I/II               
      DERMATOLOGY    Pergamum – DPK-060 for skin infection                 Preparation for Phase IIb
                     Pergamum – LL-37 for chronic wounds                   Complete Phase I/II
                     Pergamum - DPK-060 for external otitis                Complete Phase II

                     Pharmanest – SHACT for pain relief at IUD insertion   Initiate Phase I                  
                     Pharmanest – SHACT for pain relief at IUD insertion   Initiate Phase II                 

    WOMEN’S HEALTH   Dilafor – Tafoxiparin for protracted labor            Initiate Phase IIb with partner
                     Pharmanest – SHACT for pain relief at IUD insertion   Complete Phase II
                     Umecrine Mood – Severe PMS and PMDD                   Initiate new Phase I/II

                     Dilaforette – Sevuparin for malaria                   Initiate Phase I/II               
            OTHER    Dilaforette – Sevuparin for malaria                   Complete Phase I/II




7
Anticipated Major Clinical Data

                                                       LL-37 Phase I/II data




     PXL01 Phase II data      DPK-060 Phase II data           Phase II data
                                                                               Phase II data
                                                                 in NSCLC




    2012                                               2013                                                2014


                                                       Phase I/II data                         Phase I/II data    Tafoxiparin Phase IIb data




                                                        Phase I data




8
Selected Portfolio Companies




9
Normalizing p53 to Overcome Drug Resistance                                                                                                               Ownership: 69%



                                                                           Platinum refractory patients in ovarian cancer (US)

      Company:               Aprea AB                          First Line Treatment (60500 patients)                        86%                          14%
      Active ingredient:     Small molecule
                                                                      Second Line Treatment (30500
                                                                                                                    58%                          42%
      Primary indication:    Ovarian cancer                                     patients)

      Current Phase:         Phase I/II                        Third Line Treatment (18000 patients)        25%                        75%


                                                                    Patients given platinum-based therapy    Patients ineligible for platinum-based therapy




     Status                                                                  Market Overview
         Aprea has identified small molecules that reactivate                      63 500 patients are diagnosed with ovarian cancer
          p53, a key protein involved in tumor growth and                            each year in 7MM, 25 % with an advanced disease at
          chemotherapy resistance                                                    diagnosis
         Positive Phase I/II data - recently published in Journal of               Close to half of the patients in second line treatment
          Clinical Oncology                                                          develop resistance to platinum-based treatment
         Planning in progress of a Phase II proof of concept study                 Aprea's drug candidate aims to target this problem
          in ovarian cancer relapsing after platinum treatment




10
APR-246 – Positive Phase I/II                                       Ownership: 69%




  Good safety and pharmacokinetic profile
   Predicted therapeutic levels reached,
    well below dose limiting toxicity
   No overlap in toxicity with cytotoxic
    therapies – combination treatment
    feasible


  Signs of clinical effect
   APR-246 activates the p53 response genes in cancer patients –
     mechanism supported
   Two patients experienced anti-tumor effects



   Source: Lehmann et al., 2012, J Clin Oncol 30:3633-3639
DPK-060 – A Novel Anti-infective Peptide                                                                             Ownership: 62%




          Company:              Pergamum AB
          Active ingredient:    Therapeutic Peptide
          Primary indication:   External Otitis
          Current Phase:        Phase II




      Status                                                         Market Overview
           Patient recruitment of the Phase II trial has been          External otitis is a painful infection of the outer ear
            finalized                                                    and ear canal
           Proof-of-concept in external otitis opens for use of        The disease is caused by a wide range of gram-
            DPK-060 in further indications of skin and soft tissue       positive and gram-negative bacteria as well as fungal
            infections                                                   infections, which are all targets of DPK-060 treatment
                                                                        8 million people are estimated to suffer from external
                                                                         otitis each year in the US and EU alone

                                                                                                  Source: van Balen et al, BMJ 2003




12
Financial Information




13
Key Financial Information for the Group (SEK)

                                                                                                               2012                  2011       2011
        Amounts in SEKm                                                                                     Jan-Sep             Jan-Sep      Full year
        Income statement
        Revenue                                                                                                 7.4                    7.1       10.5
        Profit/loss after tax                                                                                -315.9                 -271.3     -385.7
        Earnings per share before and after dilution (SEK)                                                     -5.99                 -5.88      -8.07
        Balance sheet
        Cash and cash equivalents                                                                             202.7                 165.4      163.3
        Short-term investments                                                                                213.2                 526.5      457.2
        Share information
        Net asset value per share (SEK)                                                                         40.4                 46.7        44.7
        Share price, last trading day in the reporting period (SEK)                                             16.3                 25.8        24.0
        Portfolio information
        Investments in portfolio companies*                                                                   207.0                 237.9      297.6
        Of which investments not affecting cash flow                                                           72.8                  86.5       94.9
        Valuation of total portfolio holdings                                                               1,535.6             1,563.9      1,546.9
        * Portfolio companies comprise subsidiaries, joint ventures, associated companies and other long-term securities holdings




14
Key Financial Information for the Group (USD)

                                                                                                               2012                 2011       2011
        Amounts in USDm                                                                                     Jan-Sep             Jan-Sep     Full year
        Income statement
        Revenue                                                                                                  1.1                  1.1        1.52
        Profit/loss after tax                                                                                  -48.4                -41.6       -55.9
        Earnings per share before and after dilution (USD)                                                     -0.92                -0.90       -1.17
        Balance sheet
        Cash and cash equivalents                                                                               31.1                 25.3       23.7
        Short-term investments                                                                                  32.7                 80.7       66.3
        Share information
        Net asset value per share (USD)                                                                           6.2                 7.1       6.48
        Share price, last trading day in the reporting period (USD)                                               2.5                 4.0       3.48
        Portfolio information
        Investments in portfolio companies*                                                                     31.7                 36.4       43.1
        Of which investments not affecting cash flow                                                            11.1                 13.2       13.8
        Valuation of total portfolio holdings                                                                  235.2                239.5      224.2
        * Portfolio companies comprise subsidiaries, joint ventures, associated companies and other long-term securities holdings




15
Strong Shareholder Base
          Shareholder                                                                     A Shares     B Shares    Cap %    Votes %
          Third Swedish National Pension Fund                                                          4 678 500     9.6%      7.5%
          Karolinska Institutet Holding AB                                                1 503 098    2 453 933     8.2%     28.2%
          Coastal Investment Management LLC                                                            3 470 541     7.2%      5.6%
          The Foundation of Baltic and East European Studies                                           3 345 537     6.9%      5.4%
          Jarla Investeringar AB                                                                       1 629 354     3.4%      2.6%
          Länsförsäkringar Group                                                                       1 514 620     3.1%      2.4%
          Swedbank Robur Funds                                                                         1 454 167     3.0%      2.3%
          Foundation Asset Management AB                                                               1 392 035     2.9%      2.2%
          Skagen Funds                                                                                 1 301 200     2.7%      2.1%
          Stefan Persson                                                                               1 261 278     2.6%      2.0%
          Insamlingsstiftelsen för främjande och utveckling av medicinsk
          forskning vid Karolinska Institutet                                                          1 150 323     2.4%      1.9%
          Holberg Funds                                                                                  800 330     1.6%      1.3%
          Norges Bank Investment Management                                                              750 000     1.5%      1.2%
          SBSB Innovation AB                                                                             700 000     1.4%      1.1%
          Ruffer Funds                                                                                   450 000     0.9%      0.7%
          Fourth Swedish National Pension Fund                                                           383 959     0.8%      0.6%
          Gålö Foundation                                                                                375 535     0.8%      0.6%
          Nordea Funds                                                                                   366 600     0.8%      0.6%
          OTK Holding A/S                                                                                325 000     0.7%      0.5%
          KL Ventures AB                                                                                 300 000     0.6%      0.5%
          Sum listed shareholders                                                         1 503 098   28 102 912    61.0%     69.5%
          Sum other shareholders                                                                  0   18 925 407    39.0%     30.5%
          Sum all shareholders                                                            1 503 098   47 028 319   100.0%    100.0%



                                                              As per September 30, 2012

16
Karolinska Development in Summary

       Exclusive access to top class medical innovations
       First-in-class drug candidates with multi billion dollar
        sales potential
       Significant clinical progress – 15 projects in clinical
        phase, 11 in the active portfolio
       Large portfolio of companies removes binary risk –
        25 companies, 34 projects
       Cash position provides funding through major
        clinical data
       Strong focus on business development activities
        across the portfolio


17
Questions




18

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Karolinska Development Q3 2012 Interim Report Presentation

  • 1. Karolinska Development 3Q 2012 Conference Call – November 22, 2012 Torbjörn Bjerke, CEO
  • 2. Today’s Presentation Third Quarter Highlights Selected Portfolio Companies Financial Information Summary 2
  • 3. Karolinska Development in Summary  Exclusive access to top class medical innovations  First-in-class drug candidates with multi billion dollar sales potential  Significant clinical progress – 15 projects in clinical phase, 11 in the active portfolio  Large portfolio of companies removes binary risk – 25 companies, 34 projects  Cash position provides funding through major clinical data  Strong focus on business development activities across the portfolio 3
  • 4. Highlights During and After the Third Quarter 2012  Pergamum reported top-line Phase II data from the clinical trial on the prevention of post-surgical adhesions  The first patient was dosed with Pergamum’s drug candidate LL-37 for treatment of hard-to-heal wounds  Aprea announced positive data from a Phase I/II clinical study with APR-246 in patients with advanced cancers
  • 5. The Portfolio has a Significant Market Potential Concept Lead Lead Preclinical Ownership* Phase I Phase II Phase III Launch PHARMACEUTICALS development discovery optimization development ONCOLOGY Axelar AB 50% Aprea AB 69% KDev Oncology AB (AKN-028) 90% KDev Oncology AB (GliGene) 44% DERMATOLOGY Pergamum AB (DPK-060, infected eczema) 62% Pergamum AB (DPK-060, external otitis) 62% Pergamum AB (PXL01) 62% Pergamum AB (LL-37) 62% WOMEN’S HEALTH Dilafor AB 55% Pharmanest AB 60% Umecrine Mood AB 43% INFECTIOUS DISEASE Dilaforette AB 66% Biosergen AS 60% CARDIOVASCULAR Athera Biotechnologies AB (Annexin A5) 65% Athera Biotechnologies AB (PC-mAb) 65% CNS BioChromix Pharma AB 76% Umecrine Cognition AB 54% INFLAMMATION NovaSAID AB 89% OPHTHALMOLOGY Clanotech AB 88% Solid colored area = completed phase Shaded colored area = ongoing phase *Including indirect ownership. Ownership in Axelar and GliGene shown after all tranches in recent investment round. Ownership in Aprea after share swap transaction. 5
  • 6. The Portfolio has a Significant Market Potential TECHNOLOGY Ownership* Concept development Prototype Development Product Sales IMPLANTS Promimic AB 28% Oss-Q AB 16% DIAGNOSTICS Athera Biotechnologies AB (CVDefine®) 65% BioChromix AB 14% PHARMACEUTICAL FORMULATION Inhalation Sciences Sweden AB 75% XSpray Microparticles AB 62% Lipidor AB 46% MEDICAL EQUIPMENT NeoDynamics AB (Fourier/AS) 21% NeoDynamics AB (Therapy/PRFA) 21% Solid colored area = completed phase Shaded colored area = ongoing phase *Including indirect ownership 6
  • 7. Portfolio Focus in 2012 and 2013 Axelar – AXL1717 for NSCLC Initiate Phase II  Akinion – AKN-028 for AML Initiate clinical studies  ONCOLOGY Aprea – APR-246 Complete Phase I/II  Akinion – AKN 028 Complete Phase I/II Axelar – AXL1717 for NSCLC Complete Phase II Pergamum – DPK-060 for external otitis Initiate Phase II  Pergamum – LL-37 for chronic wounds Initiate Phase I/II  DERMATOLOGY Pergamum – DPK-060 for skin infection Preparation for Phase IIb Pergamum – LL-37 for chronic wounds Complete Phase I/II Pergamum - DPK-060 for external otitis Complete Phase II Pharmanest – SHACT for pain relief at IUD insertion Initiate Phase I  Pharmanest – SHACT for pain relief at IUD insertion Initiate Phase II  WOMEN’S HEALTH Dilafor – Tafoxiparin for protracted labor Initiate Phase IIb with partner Pharmanest – SHACT for pain relief at IUD insertion Complete Phase II Umecrine Mood – Severe PMS and PMDD Initiate new Phase I/II Dilaforette – Sevuparin for malaria Initiate Phase I/II  OTHER Dilaforette – Sevuparin for malaria Complete Phase I/II 7
  • 8. Anticipated Major Clinical Data LL-37 Phase I/II data PXL01 Phase II data  DPK-060 Phase II data Phase II data Phase II data in NSCLC 2012 2013 2014 Phase I/II data Phase I/II data Tafoxiparin Phase IIb data Phase I data 8
  • 10. Normalizing p53 to Overcome Drug Resistance Ownership: 69% Platinum refractory patients in ovarian cancer (US) Company: Aprea AB First Line Treatment (60500 patients) 86% 14% Active ingredient: Small molecule Second Line Treatment (30500 58% 42% Primary indication: Ovarian cancer patients) Current Phase: Phase I/II Third Line Treatment (18000 patients) 25% 75% Patients given platinum-based therapy Patients ineligible for platinum-based therapy Status Market Overview  Aprea has identified small molecules that reactivate  63 500 patients are diagnosed with ovarian cancer p53, a key protein involved in tumor growth and each year in 7MM, 25 % with an advanced disease at chemotherapy resistance diagnosis  Positive Phase I/II data - recently published in Journal of  Close to half of the patients in second line treatment Clinical Oncology develop resistance to platinum-based treatment  Planning in progress of a Phase II proof of concept study  Aprea's drug candidate aims to target this problem in ovarian cancer relapsing after platinum treatment 10
  • 11. APR-246 – Positive Phase I/II Ownership: 69% Good safety and pharmacokinetic profile  Predicted therapeutic levels reached, well below dose limiting toxicity  No overlap in toxicity with cytotoxic therapies – combination treatment feasible Signs of clinical effect  APR-246 activates the p53 response genes in cancer patients – mechanism supported  Two patients experienced anti-tumor effects Source: Lehmann et al., 2012, J Clin Oncol 30:3633-3639
  • 12. DPK-060 – A Novel Anti-infective Peptide Ownership: 62% Company: Pergamum AB Active ingredient: Therapeutic Peptide Primary indication: External Otitis Current Phase: Phase II Status Market Overview  Patient recruitment of the Phase II trial has been  External otitis is a painful infection of the outer ear finalized and ear canal  Proof-of-concept in external otitis opens for use of  The disease is caused by a wide range of gram- DPK-060 in further indications of skin and soft tissue positive and gram-negative bacteria as well as fungal infections infections, which are all targets of DPK-060 treatment  8 million people are estimated to suffer from external otitis each year in the US and EU alone Source: van Balen et al, BMJ 2003 12
  • 14. Key Financial Information for the Group (SEK) 2012 2011 2011 Amounts in SEKm Jan-Sep Jan-Sep Full year Income statement Revenue 7.4 7.1 10.5 Profit/loss after tax -315.9 -271.3 -385.7 Earnings per share before and after dilution (SEK) -5.99 -5.88 -8.07 Balance sheet Cash and cash equivalents 202.7 165.4 163.3 Short-term investments 213.2 526.5 457.2 Share information Net asset value per share (SEK) 40.4 46.7 44.7 Share price, last trading day in the reporting period (SEK) 16.3 25.8 24.0 Portfolio information Investments in portfolio companies* 207.0 237.9 297.6 Of which investments not affecting cash flow 72.8 86.5 94.9 Valuation of total portfolio holdings 1,535.6 1,563.9 1,546.9 * Portfolio companies comprise subsidiaries, joint ventures, associated companies and other long-term securities holdings 14
  • 15. Key Financial Information for the Group (USD) 2012 2011 2011 Amounts in USDm Jan-Sep Jan-Sep Full year Income statement Revenue 1.1 1.1 1.52 Profit/loss after tax -48.4 -41.6 -55.9 Earnings per share before and after dilution (USD) -0.92 -0.90 -1.17 Balance sheet Cash and cash equivalents 31.1 25.3 23.7 Short-term investments 32.7 80.7 66.3 Share information Net asset value per share (USD) 6.2 7.1 6.48 Share price, last trading day in the reporting period (USD) 2.5 4.0 3.48 Portfolio information Investments in portfolio companies* 31.7 36.4 43.1 Of which investments not affecting cash flow 11.1 13.2 13.8 Valuation of total portfolio holdings 235.2 239.5 224.2 * Portfolio companies comprise subsidiaries, joint ventures, associated companies and other long-term securities holdings 15
  • 16. Strong Shareholder Base Shareholder A Shares B Shares Cap % Votes % Third Swedish National Pension Fund 4 678 500 9.6% 7.5% Karolinska Institutet Holding AB 1 503 098 2 453 933 8.2% 28.2% Coastal Investment Management LLC 3 470 541 7.2% 5.6% The Foundation of Baltic and East European Studies 3 345 537 6.9% 5.4% Jarla Investeringar AB 1 629 354 3.4% 2.6% Länsförsäkringar Group 1 514 620 3.1% 2.4% Swedbank Robur Funds 1 454 167 3.0% 2.3% Foundation Asset Management AB 1 392 035 2.9% 2.2% Skagen Funds 1 301 200 2.7% 2.1% Stefan Persson 1 261 278 2.6% 2.0% Insamlingsstiftelsen för främjande och utveckling av medicinsk forskning vid Karolinska Institutet 1 150 323 2.4% 1.9% Holberg Funds 800 330 1.6% 1.3% Norges Bank Investment Management 750 000 1.5% 1.2% SBSB Innovation AB 700 000 1.4% 1.1% Ruffer Funds 450 000 0.9% 0.7% Fourth Swedish National Pension Fund 383 959 0.8% 0.6% Gålö Foundation 375 535 0.8% 0.6% Nordea Funds 366 600 0.8% 0.6% OTK Holding A/S 325 000 0.7% 0.5% KL Ventures AB 300 000 0.6% 0.5% Sum listed shareholders 1 503 098 28 102 912 61.0% 69.5% Sum other shareholders 0 18 925 407 39.0% 30.5% Sum all shareholders 1 503 098 47 028 319 100.0% 100.0% As per September 30, 2012 16
  • 17. Karolinska Development in Summary  Exclusive access to top class medical innovations  First-in-class drug candidates with multi billion dollar sales potential  Significant clinical progress – 15 projects in clinical phase, 11 in the active portfolio  Large portfolio of companies removes binary risk – 25 companies, 34 projects  Cash position provides funding through major clinical data  Strong focus on business development activities across the portfolio 17