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HECOLCAP	
  by	
  
	
  
B2S	
  -­‐	
  Biomime&c	
  Bone	
  Solu&ons	
  
Team
Susana	
  Sousa	
  
João	
  Cortez	
  Fernando	
  Monteiro	
  
Bone	
  infec6on,	
  associated	
  to:	
  	
  
•  diabe6c	
  foot	
  ulcers;	
  
•  prostheses;	
  
•  open	
  fractures…	
  
8.5	
  million	
  in	
  USA	
  &	
  EU	
  
150	
  million	
  worldwide	
  
SOURCE:	
  Bonesupport;	
  McNally,	
  Lead	
  Surgeon	
  of	
  the	
  Bone	
  Infec6on	
  Unit	
  at	
  the	
  Nuffield	
  Orthopaedic	
  Centre	
  in	
  Oxford,	
  UK	
  
Osteomyeli3s
STANDARD	
  TREATMENT	
  
Surgery	
  -­‐	
  6ssue	
  debridement	
  
Intravenous	
  an6bio6c	
  
administra6on	
  
Final	
  surgery	
  	
  
for	
  bone	
  replacement	
  	
  
Treatment	
  6me	
  
N	
  x	
  4-­‐6	
  weeks	
  
-­‐  Difficult	
  to	
  eradicate	
  infec6on	
  
-­‐  Up	
  to	
  40%	
  recurrence	
  and	
  high	
  risk	
  of	
  amputaJon	
  
-­‐  Impaired	
  long-­‐term	
  bone	
  regeneraJon	
  (at	
  least	
  6	
  
months	
  to	
  regenerate)	
  
-­‐  Prolonged	
  hospital	
  stay	
  
-­‐  Pa6ent	
  pain	
  and	
  impaired	
  mobility	
  
MAJOR	
  ISSUES	
  
raised	
  by	
  specialists	
  
NO	
  EFFICIENT	
  SOLUTION	
  TO	
  ERADICATE	
  BONE	
  INFECTION	
  
AND	
  ACTIVELY	
  PROMOTE	
  BONE	
  REGENERATION	
  
Eradica6on	
  
of	
  infec6on	
  
Bone	
  growth	
  
An6bio6c	
  
effec6veness	
  
Ac6ve	
  bone	
  
regenera6on	
  
HECOLCAP:	
  	
  the	
  single	
  intervenJon	
  soluJon	
  
Enables	
  sustained,	
  local	
  delivery	
  of	
  an	
  anJbioJc	
  	
  	
  	
  	
  
AcJvely	
  promotes	
  bone	
  regeneraJon	
  	
  
HECOLCAP:	
  	
  the	
  single	
  intervenJon	
  soluJon	
  
STANDARD	
  TREATMENT	
  
Surgery	
  -­‐	
  6ssue	
  debridement	
  
Intravenous	
  an6bio6c	
  
administra6on	
  
Final	
  surgery	
  	
  
for	
  bone	
  replacement	
  	
  
STANDARD	
  TREATMENT	
  
Surgery	
  -­‐	
  6ssue	
  debridement	
  
Intravenous	
  an6bio6c	
  
administra6on	
  
Final	
  surgery	
  	
  
for	
  bone	
  replacement	
  	
  
HECOLCAP	
  
Surgery	
  -­‐	
  6ssue	
  debridement	
  
HECOLCAP	
  applica6on	
  
SINGLE	
  
SURGERY	
  
Bone	
  growth	
  Bone	
  infec6on	
  
Bone	
  growth	
  Bone	
  infec6on	
  
Bone	
  growth	
  Bone	
  infec6on	
  
Bone	
  growth	
  Bone	
  infec6on	
  
Bone	
  growth	
  Bone	
  infec6on	
  
Bone	
  growth	
  Bone	
  infec6on	
  
Bone	
  growth	
  Bone	
  infec6on	
  
Bone	
  growth	
  Bone	
  infec6on	
  
HECOLCAP	
  -­‐	
  local	
  an6bio6c	
  delivery,	
  
increasing	
  its	
  efficacy,	
  and	
  ac6vely	
  
promotes	
  bone	
  regenera6on.	
  	
  
All	
  in	
  a	
  single	
  interven6on.	
  
	
  
PCT	
  ApplicaJon	
  WO2015162561	
  (A1)	
  
Priority	
  Date:	
  21.04.2014	
  	
  
COMPOSITION	
  FOR	
  LOCAL	
  AND	
  CONTROLLED	
  
RELEASE	
  OF	
  DRUGS	
  AND	
  METHODS	
  THEREOF	
  
83%	
  
17%	
  
STANDARD	
  TREATMENT	
   COMPETITORS	
  
	
  
CERAMENT™	
  	
  	
  	
  &	
  	
  	
  	
  EluJBone	
  	
  
	
  
	
  
HECOLCAP	
  
4	
  -­‐	
  6	
  weeks	
   2	
  -­‐	
  3	
  weeks	
   2	
  -­‐	
  3	
  weeks	
  
Parenteral	
  an6bio6c	
  administra6on	
   Sustained	
  local	
  an6bio6c	
  delivery	
   Sustained	
  local	
  an6bio6c	
  delivery	
  
High	
  an6bio6c	
  dose	
   High	
  local	
  an6bio6c	
  dose	
   OpJmized	
  anJbioJc	
  dose	
  
-­‐	
   -­‐	
   AcJvely	
  promotes	
  bone	
  regeneraJon	
  
Market
Total	
  cases	
  of	
  OsteomyeliJs	
  in	
  the	
  USA	
  and	
  Europe	
  
8.5	
  million	
  
65%	
  
5.5	
  million	
  USA	
  
3	
  million	
  Europe	
  
CAGR	
  3.8%	
  
SOURCES:	
  	
  Bonesupport;	
  McNally,	
  Lead	
  Surgeon	
  of	
  the	
  Bone	
  Infec6on	
  Unit	
  at	
  the	
  Nuffield	
  Orthopaedic	
  Centre	
  in	
  Oxford	
  (UK)	
  
Market
Total	
  cases	
  of	
  OsteomyeliJs	
  in	
  the	
  USA	
  and	
  Europe	
  
Acute	
  OsteomyeliJts	
  represent	
  
10%	
  of	
  total	
  cases	
  
850	
  000	
  USA	
  &	
  Europe	
  
Reten6on	
  rate	
  95%	
  
ca.	
  800	
  000	
  USA	
  &	
  Europe	
  
8.5	
  million	
  
65%	
  
5.5	
  million	
  USA	
  
3	
  million	
  Europe	
  
CAGR	
  3.8%	
  
SOURCES:	
  	
  Bonesupport;	
  McNally,	
  Lead	
  Surgeon	
  of	
  the	
  Bone	
  Infec6on	
  Unit	
  at	
  the	
  Nuffield	
  Orthopaedic	
  Centre	
  in	
  Oxford	
  (UK)	
  
Investment  needs
1	
   2	
   3	
   4	
  
Proof	
  of	
  concept	
  
Years	
  
€	
  100	
  k	
  
Clinical	
  studies	
  
€	
  2.6M	
  
TOTAL	
  INVESTMENT	
  €	
  2.7	
  M	
  
1 2 3
PRODUCT	
  
DEVELOPMENT	
  
PRE	
  MARKET	
  
APPROVAL	
  
	
  TRADE	
  SELL	
  
Exit  Strategy
Johnson	
  &	
  Johnson	
  
Striker	
  
Baxter	
  Healthcare	
  
Velcura	
  Therapeu6cs	
  
Orthopedic	
  surgeons	
  now	
  have	
  a	
  product	
  that:	
  
ü  Op6mises	
  an6bio6c	
  delivery/dosage	
  
ü  Maximizes	
  bone	
  forma6on	
  	
  
ü  Reduces	
  overall	
  treatment	
  6me	
  and	
  cost	
  
HECOLCAP	
  –	
  Single	
  intervenJon	
  soluJon	
  for	
  
osteomyeliJs	
  	
  
HECOLCAP	
  –	
  Single	
  intervenJon	
  soluJon	
  for	
  
osteomyeliJs	
  	
  
G.B.,	
  Orthopedic	
  Surgeon,	
  Cleaveland	
  Clinic,	
  USA	
  
“...	
  I	
  believe	
  this	
  is	
  the	
  way	
  forward.	
  A	
  soluAon	
  such	
  
as	
  this	
  would	
  be	
  really	
  valuable	
  for	
  us.”	
  

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Caixa Empreender Award 2016| Health - B2s (Cohitec)

  • 1. HECOLCAP  by     B2S  -­‐  Biomime&c  Bone  Solu&ons  
  • 2. Team Susana  Sousa   João  Cortez  Fernando  Monteiro  
  • 3. Bone  infec6on,  associated  to:     •  diabe6c  foot  ulcers;   •  prostheses;   •  open  fractures…   8.5  million  in  USA  &  EU   150  million  worldwide   SOURCE:  Bonesupport;  McNally,  Lead  Surgeon  of  the  Bone  Infec6on  Unit  at  the  Nuffield  Orthopaedic  Centre  in  Oxford,  UK   Osteomyeli3s
  • 4. STANDARD  TREATMENT   Surgery  -­‐  6ssue  debridement   Intravenous  an6bio6c   administra6on   Final  surgery     for  bone  replacement     Treatment  6me   N  x  4-­‐6  weeks  
  • 5. -­‐  Difficult  to  eradicate  infec6on   -­‐  Up  to  40%  recurrence  and  high  risk  of  amputaJon   -­‐  Impaired  long-­‐term  bone  regeneraJon  (at  least  6   months  to  regenerate)   -­‐  Prolonged  hospital  stay   -­‐  Pa6ent  pain  and  impaired  mobility   MAJOR  ISSUES   raised  by  specialists  
  • 6. NO  EFFICIENT  SOLUTION  TO  ERADICATE  BONE  INFECTION   AND  ACTIVELY  PROMOTE  BONE  REGENERATION   Eradica6on   of  infec6on   Bone  growth   An6bio6c   effec6veness   Ac6ve  bone   regenera6on  
  • 7. HECOLCAP:    the  single  intervenJon  soluJon  
  • 8. Enables  sustained,  local  delivery  of  an  anJbioJc           AcJvely  promotes  bone  regeneraJon     HECOLCAP:    the  single  intervenJon  soluJon  
  • 9. STANDARD  TREATMENT   Surgery  -­‐  6ssue  debridement   Intravenous  an6bio6c   administra6on   Final  surgery     for  bone  replacement    
  • 10. STANDARD  TREATMENT   Surgery  -­‐  6ssue  debridement   Intravenous  an6bio6c   administra6on   Final  surgery     for  bone  replacement    
  • 11. HECOLCAP   Surgery  -­‐  6ssue  debridement   HECOLCAP  applica6on   SINGLE   SURGERY  
  • 12. Bone  growth  Bone  infec6on  
  • 13. Bone  growth  Bone  infec6on  
  • 14. Bone  growth  Bone  infec6on  
  • 15. Bone  growth  Bone  infec6on  
  • 16. Bone  growth  Bone  infec6on  
  • 17. Bone  growth  Bone  infec6on  
  • 18. Bone  growth  Bone  infec6on  
  • 19. Bone  growth  Bone  infec6on   HECOLCAP  -­‐  local  an6bio6c  delivery,   increasing  its  efficacy,  and  ac6vely   promotes  bone  regenera6on.     All  in  a  single  interven6on.    
  • 20. PCT  ApplicaJon  WO2015162561  (A1)   Priority  Date:  21.04.2014     COMPOSITION  FOR  LOCAL  AND  CONTROLLED   RELEASE  OF  DRUGS  AND  METHODS  THEREOF   83%   17%  
  • 21. STANDARD  TREATMENT   COMPETITORS     CERAMENT™        &        EluJBone         HECOLCAP   4  -­‐  6  weeks   2  -­‐  3  weeks   2  -­‐  3  weeks   Parenteral  an6bio6c  administra6on   Sustained  local  an6bio6c  delivery   Sustained  local  an6bio6c  delivery   High  an6bio6c  dose   High  local  an6bio6c  dose   OpJmized  anJbioJc  dose   -­‐   -­‐   AcJvely  promotes  bone  regeneraJon  
  • 22. Market Total  cases  of  OsteomyeliJs  in  the  USA  and  Europe   8.5  million   65%   5.5  million  USA   3  million  Europe   CAGR  3.8%   SOURCES:    Bonesupport;  McNally,  Lead  Surgeon  of  the  Bone  Infec6on  Unit  at  the  Nuffield  Orthopaedic  Centre  in  Oxford  (UK)  
  • 23. Market Total  cases  of  OsteomyeliJs  in  the  USA  and  Europe   Acute  OsteomyeliJts  represent   10%  of  total  cases   850  000  USA  &  Europe   Reten6on  rate  95%   ca.  800  000  USA  &  Europe   8.5  million   65%   5.5  million  USA   3  million  Europe   CAGR  3.8%   SOURCES:    Bonesupport;  McNally,  Lead  Surgeon  of  the  Bone  Infec6on  Unit  at  the  Nuffield  Orthopaedic  Centre  in  Oxford  (UK)  
  • 24. Investment  needs 1   2   3   4   Proof  of  concept   Years   €  100  k   Clinical  studies   €  2.6M   TOTAL  INVESTMENT  €  2.7  M  
  • 25. 1 2 3 PRODUCT   DEVELOPMENT   PRE  MARKET   APPROVAL    TRADE  SELL   Exit  Strategy Johnson  &  Johnson   Striker   Baxter  Healthcare   Velcura  Therapeu6cs  
  • 26. Orthopedic  surgeons  now  have  a  product  that:   ü  Op6mises  an6bio6c  delivery/dosage   ü  Maximizes  bone  forma6on     ü  Reduces  overall  treatment  6me  and  cost   HECOLCAP  –  Single  intervenJon  soluJon  for   osteomyeliJs    
  • 27. HECOLCAP  –  Single  intervenJon  soluJon  for   osteomyeliJs     G.B.,  Orthopedic  Surgeon,  Cleaveland  Clinic,  USA   “...  I  believe  this  is  the  way  forward.  A  soluAon  such   as  this  would  be  really  valuable  for  us.”