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Pioneering a liquid biopsy from a simple
blood test with the aim of securing a
leading position in the multi $ billion
personalized cancer care market
Andrew Newland & Ian Griffiths
December 2014
© ANGLE plc 2014 Page 2
Legal disclaimer
This presentation has been prepared by ANGLE plc (the “Company”). By attending this presentation and/or reviewing the slides you
agree to be bound by the following conditions.
The information and opinions contained in this presentation have not been independently verified, are provided as at the date
hereof and are subject to amendment, revision and completion without notice. No person is under any obligation to update or keep
current the information contained in this presentation. No representation, warranty or undertaking, express or implied, is made by
the Company, its advisers or representatives, or their respective officers, employees or agents as to, and no reliance should be
placed on, the fairness, accuracy, completeness, correctness or reasonableness of the information or the opinions contained herein.
The Company, its advisers or representatives, or their respective officers, employees and agents expressly disclaim any and all
liability which may be based on this presentation and any errors therein or omissions therefrom.
This presentation does not constitute or form any part of, and should not be construed as, an offer to sell, or an invitation or
solicitation or recommendation to purchase, or subscribe for or underwrite or otherwise acquire any securities in the Company in any
jurisdiction and does not constitute or form part of a prospectus. No part of this presentation should form the basis of, or be relied
on in connection with, or act as any inducement to enter into, any contract or commitment or investment decision whatsoever.
This presentation should not be considered as the giving of investment advice by the Company or any of its shareholders, directors,
officers, agents, employees or advisers. Each party to whom this document is made available must make its own independent
assessment of the Company after making such investigations and taking such advice as may be deemed necessary. If you are in any
doubt in relation to these matters, you should consult your stockbroker, bank manager, solicitor, accountant, taxation adviser or
other independent financial adviser (where applicable, as authorised under the Financial Services and Markets Act 2000).
This presentation contains certain statements that are neither reported financial results nor other historical information. These
statements include information with respect to the Company’s financial condition, its results of operations and businesses, strategy,
plans and objectives. Words such as “anticipates”, “expects”, “should”, “intends”, “plans”, “believes”, “outlook”, “seeks”, “estimates”,
“targets”, “may”, “will”, “continue”, “project” and similar expressions, as well as statements in the future tense, identify forward-
looking statements. These forward-looking statements are not guarantees of the Company’s future performance and are subject to
assumptions, risks and uncertainties that could cause actual future results to differ materially from those expressed in or implied by
such forward-looking statements. Many of these assumptions, risks and uncertainties relate to factors that are beyond the
Company’s ability to control or estimate precisely and include, but are not limited to, the general economic climate and market
conditions, as well as specific factors including the success of the Group’s research and development and commercialisation
strategies, the uncertainties related to regulatory clearance and the acceptance of the Group’s products by customers.
For further details regarding these and other assumptions, risks and uncertainties that may affect the Group, please read the
Directors’ Report section including the “Principal risks and uncertainties” in the most recent Annual Report & Accounts of ANGLE plc.
In addition, new factors emerge from time to time and the Company cannot assess the potential impact of any such factor on its
activities or the extent to which any factor, or combination of factors, may cause actual future results to differ materially from those
contained in any forward-looking statement. Except as may be required by law or regulation, the Company undertakes no obligation
to update any of its forward-looking statements, which speak only as of the date of this document.
© ANGLE plc 2014 Page 3
Summary
Increase in cancer incidence to 1 in 3 people set to drive a huge growth
in market as personalized cancer care takes off
−crucial medical need to be able to analyse individual patient’s cancer
Parsortix patented circulating tumour cell (CTC) system harvests cancer
cells from patient blood for analysis as a liquid biopsy
Parsortix system established with strong, positive evaluations from
leading cancer centers
CE Mark for Europe in place. FDA authorisation in process for US
−only one existing CTC system with FDA approval but that has limited application
for counting cells and cannot harvest cells for analysis
Major opportunities for commercial growth and collaboration
−compatibility with existing major medtech analytical platforms (Roche, Illumina,
Abbott, Life Technologies, Qiagen, Hologic, Agilent, Siemens Healthcare,
bioMérieux etc)
−key value generation for major pharma (development of new drugs, selection of
patients for existing drugs, companion diagnostics)
© ANGLE plc 2014 Page 4
US leads worldwide focus on personalized cancer care
“Personalized cancer care is the future of medicine. The
faster we can develop cancer treatments that are tailored to the
individual characteristics of each patient, the better we can
concentrate interventions on those who will benefit the most
from them and avoid the expense, side effects and emotional
involvement on those who will not.”
“Each person is unique; each tumor is unique. This
seemingly simple truth is the premise of personalized cancer
therapy, a growing field based on analyzing these differences to
find keys to unlock the mysteries of cancer.”
“A tumor contains a varied mix of cancer cells and the
mix is constantly changing. This is known as tumor
heterogeneity. The cells may have different sets of genes turned
on and off — phenotypic heterogeneity — or have different
numbers of genes and chromosomes — genetic heterogeneity.”
“Personalized treatment involves identifying
characteristics of individual patients' tumors in order to
determine their responsiveness to specific chemotherapy drugs.
… to determine which tumors are sensitive to a given drug and
equally important, which tumors are resistant to specific drugs.”
© ANGLE plc 2014 Page 5
Personalized cancer care
Incidence of cancer growing. 1 in 3 people will suffer from cancer
−14 million new cases in 2012 up from 12.7 million cases in 2008
−8.2 million deaths up from 7.6 million
Characteristic of cancer is that it continually evolves and mutates
−Each patient’s cancer is different
−The individual patient’s cancer changes over time
Effective treatment requires personalized care
−Understanding patient’s cancer
−Selecting drugs that target their specific cancer
−Advanced analytical techniques provide the key
Healthcare economic pressures
−Efficient and effective use of resources
Major pharma are developing much more selective drugs
−Colorectal cancer KRAS+ Cetuximab (Merck Serono)
−Lung cancer EGFR+ Iressa (AstraZeneca)
−Breast cancer HER2+ Herceptin (Genentech)
© ANGLE plc 2014 Page 6
Obtaining cancer cells for analysis
Existing approach: solid tumour biopsy
Clinicians cut out part of the tumour and analyse the cancer cells
−Breast cancer mastectomy or lumpectomy
−Colorectal cancer colonoscopy tumour biopsy
−Prostate cancer fine needle biopsy and prostatectomy
Difficulty in accessing some tumours
−Pancreatic cancer
−Lung cancer
−Brain cancer
Repeat tumour biopsy to see how the cancer may have changed is
problematic as tissue not available for excision
New approach: “liquid biopsy” harvest cancer cells from blood
Intense medical interest in liquid biopsy
Non-invasive, repeatable, cost effective
Challenge is only one CTC in one billion blood cells
© ANGLE plc 2014
ANGLE’s Parsortix system for capturing cancer cells
Page 7
Inlet
Outlet
Patented
Separation Step
Plan View
Cross Section
Captured CTCs
White blood cells
Red blood cells
pass through
Blood Flow
Platform technology
The Parsortix system is a platform technology for
harvesting rare cells from blood. In addition to
cancer cells, other cells can be captured including
fetal cells from maternal blood.
© ANGLE plc 2014 Page 8
ANGLE’s patented Parsortix system
First Family – Granted US Patent
(expiry 8 November 2026) stepped,
microscale cell separators for fluid
flow and cell separation
Second Family – Granted US
Patent and patents pending
worldwide (US expiry 2029)
fetal cells and tumor cells
specifically disclosed
Third Family – Patents
filed (20 years
coverage) new
capabilities
© ANGLE plc 2014 Page 9
Parsortix cassette: captured cancer cells
Lines are the Parsortix cell
separation steps
Two outer Steps (RHS) are
20µm apart. The inner
steps are 10µm apart
Large PC3 cells are shown
captured on the outer
steps
Blood flow
Source: University of Surrey Oncology Dept
CK20 – green
CD45 – red
Nuclear stain - blue
Prostate cancer cells Colorectal cancer cells
© ANGLE plc 2014 Page 10
Key opinion leaders United Kingdom
Positive evaluation. Key advantages:
−High level of capture (80-100%) and
harvest (60-100%)
−Does not use antibody capture
−Exceptionally low WBC contamination
−Harvested cells can be analysed
Colorectal cancer patient validation
−High CTC capture rate
−Parsortix system demonstrated twice the
sensitivity of currently accepted clinical
practice for CTC capture
Cambridge Parsortix laboratory
−Bowel cancer including colorectal,
pancreatic and oesophageal cancers
−New drug compounds
−Gene mutation analysis and next-
generation sequencing (NGS)
© ANGLE plc 2014 Page 11
Key opinion leaders Europe
European leader in CTCs
Successful six month evaluation
Works with a wide range of cancers
and all types of cancer cells
Developing a liquid biopsy solution
Specialising in ovarian cancer, which
does not work with antibody systems
Key player in Europe wide ovarian
cancer group
Testing RNA analysis with plans to
move into drug trials
© ANGLE plc 2014 Page 12
Key opinion leaders United States
Professor Julie Lang, breast cancer surgeon
American Society for Clinical Oncology guidelines
Comparison of simple blood test using Parsortix with metastatic biopsy
such as liver resection
RNA and protein analysis including HER2 expression
Professor Massimo Cristofanilli, acknowledged leader in CTCs since 2004
“ANGLE’s Parsortix system offers the potential for two important
advances. Firstly it captures all the relevant types of CTCs and secondly
it provides an efficient means to harvest the cells for analysis”
© ANGLE plc 2014 Page 13
Technical advantages of Parsortix over competing approaches
Parsortix patented step system is simple, effective and affordable
−Easy to use, automated, low user input
Parsortix is a high performance, versatile system
−Captures a high proportion of CTCs
−Can be used with all solid tumour cancers (including breast, prostate, lung,
colorectal, pancreatic, ovarian, cervical, brain)
−Captured CTCs are intact, viable and undamaged
−CTCs can be harvested (recovered from system) for analysis
−Purity of CTCs very high (i.e. very low background contamination from white
blood cells) allowing direct molecular analysis of harvested cells
System does not use antibodies to capture cells
−Antibody systems miss key target cells and do not work at all for some cancers
−Antibody capture can compromise downstream molecular analysis
−Antibody systems are complicated and expensive
System does not use membranes to capture cells
−Membrane systems can clog up and have high background contamination
−CTCs cannot easily be harvested for analysis
© ANGLE plc 2014 Page 14
Market advantages of Parsortix over competing approaches
FDA submission in process
−Potential to be the first FDA authorised CTC harvesting system
In-house not CLIA (certified laboratory) remote service
−Offer the hospitals a system that they can use in their own labs
−Competitor systems without FDA approval can only offer a remote service
−Parsortix in-house operation offers hospital customers a source of revenue
Low production costs of machine and consumable
−High margin potential
−Cost competitive advantage
−No costly antibodies
Open source with wide application
−All solid cancers and all applications
−Designed to work with existing medtech platforms (not to compete with them)
Compatible with cell-free DNA analysis
−A single patient sample can be used for cell-free DNA and Parsortix CTC analysis
−Parsortix RNA and protein analysis in addition to the DNA analysis of cell-free DNA
© ANGLE plc 2014 Page 15
How ANGLE intends to secure its market position
Focus on translational research with major US and international cancer
centers (key opinion leaders)
Go to market via commercial collaborations with major medtech and
pharma companies
Key opinion leader reporting on clinical applications supported by pilot
studies
Patient studies to support clinical applications
FDA authorisation
Roll out of sales
© ANGLE plc 2014 Page 16
Summary
Parsortix system harvests cancer cells from blood for analysis providing a
liquid biopsy (simple blood test) and meets a major medical need:
−Personalized cancer care
−Early diagnosis, companion diagnostics and remission monitoring
−Reduced costs
Regulatory authorisation is in place in Europe and FDA is in process in
United States
ANGLE has established partnerships with world-leading cancer research
groups to
−Develop clinical applications
−Undertake patient studies
−Provide key opinion leader support
Moving into commercialisation phase with partnerships with major
medtech and pharma corporates planned
Parsortix system + regulatory authorisation + clinical application +
patient data + key opinion leader = $bn market
© ANGLE plc 2014 Page 17
Personalized cancer care
“Personalised medicine is the
most exciting change in cancer
treatment since the invention
of chemotherapy”
Professor Peter Johnson, Chief
Clinician, Cancer Research UK
“Personalized cancer care is the future of medicine.
The faster we can develop cancer treatments that
are tailored to the individual characteristics of each
patient, the better we can concentrate
interventions on those who will benefit the most
from them and avoid the expense, side effects and
emotional involvement on those who will not.”
“The evaluation phase of our work is now successfully complete and we see great
promise in the application of the Parsortix technology for harvesting CTCs for
molecular analysis to enable personalised cancer care. We are now undertaking pilot
studies using the Parsortix system in both colorectal cancer and pancreatic cancer.”
Deputy and Genomics Leader within the Clinical & Experimental Pharmacology group at
Cancer Research UK Manchester Institute, Ged Brady
“This agreement will greatly facilitate the use of ANGLE’s Parsortix system in our research,
and that of other colleagues in Cambridge. We foresee several exciting research
avenues to test different applications of the Parsortix system in the diagnosis and
personalised treatment of cancer.”
Medical Research Council Cancer Unit Director, Professor Ashok Venkitaraman
© ANGLE plc 2014 Page 18
Extensive clinical value in analysing CTCs
Potential Applications
Diagnosis
Prognosis
Mutational analysis
and drug selection
Drug development
Treatment / drug
effectiveness
Remission
monitoring
Nature Medicine 11 November 2013: Tumor metastasis: moving new biological insights into the clinic
Liling Wan (Princeton University), Klaus Pantel (Hamburg University), Yibin Kang (Cancer Institute of New Jersey)
© ANGLE plc 2014 Page 19
Large growing market
Crucial drivers for diagnostics
Early detection
Targeted medication
Reduced costs
* Frost and Sullivan – Market research 2011
** Jain Pharma Biotech June 2011
Current molecular cancer testing market
(a subset of the Parsortix market) More than 1 in 3 people will
get cancer
Growth in cancer worldwide
• Age
• Developing countries
• Smoking
• Obesity
• Lack of exercise
• Alcohol
• Other unknown
Deaths p.a.
Annual (2012) Incidence Mortality Prevalence
Lung 1,824,701 1,589,925 1,893,078
Breast 1,676,633 521,907 6,255,391
Colorectum 1,360,602 693,933 3,543,582
Prostate 1,111,689 307,481 3,923,668
Cervix, uterus and ovary 1,085,948 493,749 3,350,289
Stomach 951,594 723,073 1,538,127
Blood 917,907 570,629 1,751,783
Liver 782,451 745,533 633,170
Other 4,378,624 2,555,345 7,504,065
Total 14,090,149 8,201,575 32,544,633
Source: International Agency on Cancer Research: World cancer factsheet August 2012
People alive who
have had cancer
New cancer
sufferers p.a.
© ANGLE plc 2014 Page 20
Board and Senior Management
Non-executive Chairman, Garth Selvey
BSc in Physics and Electronics
Engineering. 36 years computer
industry. Comino Group plc.
Chief Executive, Andrew Newland
MA Engineering from Cambridge,
Chartered Accountant. 25 years,
building technology-based businesses
15 years specialist medtech
Finance Director, Ian Griffiths BSc
Mathematics with Management
Applications and Chartered Accountant.
Technology commercialisation 20 years
new technology based businesses
Non-executive director, Brian Howlett.
Lombard Medical Technologies PLC.
Boston Scientific Ltd. Cobe Laboratories
Inc. 20 years pharmaceuticals Fisons
plc
US Vice President, Peggy Robinson
B.S., Biology / Medical Technology
American Society of Clinical Pathologists
Director of marketing for Johnson &
Johnson company Veridex, responsible for
CellSearch® Research Use
Chief Technology Officer, Dr Shane Booth
PhD Biochemistry. Post doctoral experience
Fred Hutchinson Cancer Center in Seattle.
Sales, marketing and business development
in laboratory equipment with Sartorius and
Anderman
Business Development Director, Michael
O’Brien MA Engineering from Cambridge.
MBA specialising in technology
commercialisation. 8 years in strategy and
operations and work with Diageo on
manufacturing and technology strategy
Head of Manufacturing and Regulatory,
Martin Cooke MEng degree in Electrical and
Electronic Engineering. Chartered Engineer.
Previously product manager global
telecommunications responsible for product
development and market introductions
© ANGLE plc 2014 Page 21
Scientific Advisers
Dr Harold Swerdlow, VP of Sequencing at
the New York Genome Centre. Formerly,
Head of Research and Development for the
Wellcome Trust Sanger Institute, expert in
next-generation sequencing (NGS).
Inventor of NGS at Solexa acquired by
Illumina
Dr Ashok Venkitaraman, Professor of
Cancer Research at the University of
Cambridge. Director of Medical Research
Council’s Cancer Cell Unit. Joint Director of
the Medical Research Council Hutchison
Cancer Research Centre
Dr Adrian Newland, Professor of
Haematology at Barts Health NHS Trust and
Queen Mary University of London. Chair,
Diagnostics Assessment for National
Institute for Health and Clinical Excellence
(NICE) for new diagnostics. Member NICE
Group for cancer drugs
Dr Clive Stanway, Chief Scientific Officer of
CRUK’s Cancer Research Technology.
Expert in cancer drug discovery and key
role in working closely with major
pharmaceutical partners
© ANGLE plc 2014 Page 22
Financials year end 30 April (shown in GBP £’000)
2014 2013
Statement of Comprehensive Income £’000 £’000
Revenue 801 969
Investments portfolio gain 1,334 514
2,135 1,483
Operating costs (3,485) (2,556)
Other income 112 42
Loss before tax (1,238) (1,031)
Statement of Financial Position 30Apr14 30Apr13
Investments 601 3,961
Trade and other receivables 328 454
Inventories 52 62
Cash 3,898 1,828
Property, plant and equipment 139 138
Intangible assets 1,142 1,080
Total assets 6,160 7,523
Listed on London Stock Exchange
AIM market; IPO 2004
45,243,059 issued shares trading at
c. $1.15
American Depositary Receipts with
BNY Mellon trading on OTC-QX
1 ADR = 10 shares trading at c.
$11.50
Stock liquidity 90 day average
volume c. $150,000 / day
© ANGLE plc 2014 Page 23
Andrew Newland
ANGLE plc
3 Frederick Sanger Road 3711 Market Street
The Surrey Research Park University Science Center 8th floor
Guildford GU2 7YD Philadelphia PA 19104
United Kingdom USA
Tel: +44 1483 685830 +1 (267) 265 6761
Email: andrew.newland@ANGLEplc.com
Website: www.ANGLEplc.com
Contact details

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Personalised Cancer Care December 2014

  • 1. Pioneering a liquid biopsy from a simple blood test with the aim of securing a leading position in the multi $ billion personalized cancer care market Andrew Newland & Ian Griffiths December 2014
  • 2. © ANGLE plc 2014 Page 2 Legal disclaimer This presentation has been prepared by ANGLE plc (the “Company”). By attending this presentation and/or reviewing the slides you agree to be bound by the following conditions. The information and opinions contained in this presentation have not been independently verified, are provided as at the date hereof and are subject to amendment, revision and completion without notice. No person is under any obligation to update or keep current the information contained in this presentation. No representation, warranty or undertaking, express or implied, is made by the Company, its advisers or representatives, or their respective officers, employees or agents as to, and no reliance should be placed on, the fairness, accuracy, completeness, correctness or reasonableness of the information or the opinions contained herein. The Company, its advisers or representatives, or their respective officers, employees and agents expressly disclaim any and all liability which may be based on this presentation and any errors therein or omissions therefrom. This presentation does not constitute or form any part of, and should not be construed as, an offer to sell, or an invitation or solicitation or recommendation to purchase, or subscribe for or underwrite or otherwise acquire any securities in the Company in any jurisdiction and does not constitute or form part of a prospectus. No part of this presentation should form the basis of, or be relied on in connection with, or act as any inducement to enter into, any contract or commitment or investment decision whatsoever. This presentation should not be considered as the giving of investment advice by the Company or any of its shareholders, directors, officers, agents, employees or advisers. Each party to whom this document is made available must make its own independent assessment of the Company after making such investigations and taking such advice as may be deemed necessary. If you are in any doubt in relation to these matters, you should consult your stockbroker, bank manager, solicitor, accountant, taxation adviser or other independent financial adviser (where applicable, as authorised under the Financial Services and Markets Act 2000). This presentation contains certain statements that are neither reported financial results nor other historical information. These statements include information with respect to the Company’s financial condition, its results of operations and businesses, strategy, plans and objectives. Words such as “anticipates”, “expects”, “should”, “intends”, “plans”, “believes”, “outlook”, “seeks”, “estimates”, “targets”, “may”, “will”, “continue”, “project” and similar expressions, as well as statements in the future tense, identify forward- looking statements. These forward-looking statements are not guarantees of the Company’s future performance and are subject to assumptions, risks and uncertainties that could cause actual future results to differ materially from those expressed in or implied by such forward-looking statements. Many of these assumptions, risks and uncertainties relate to factors that are beyond the Company’s ability to control or estimate precisely and include, but are not limited to, the general economic climate and market conditions, as well as specific factors including the success of the Group’s research and development and commercialisation strategies, the uncertainties related to regulatory clearance and the acceptance of the Group’s products by customers. For further details regarding these and other assumptions, risks and uncertainties that may affect the Group, please read the Directors’ Report section including the “Principal risks and uncertainties” in the most recent Annual Report & Accounts of ANGLE plc. In addition, new factors emerge from time to time and the Company cannot assess the potential impact of any such factor on its activities or the extent to which any factor, or combination of factors, may cause actual future results to differ materially from those contained in any forward-looking statement. Except as may be required by law or regulation, the Company undertakes no obligation to update any of its forward-looking statements, which speak only as of the date of this document.
  • 3. © ANGLE plc 2014 Page 3 Summary Increase in cancer incidence to 1 in 3 people set to drive a huge growth in market as personalized cancer care takes off −crucial medical need to be able to analyse individual patient’s cancer Parsortix patented circulating tumour cell (CTC) system harvests cancer cells from patient blood for analysis as a liquid biopsy Parsortix system established with strong, positive evaluations from leading cancer centers CE Mark for Europe in place. FDA authorisation in process for US −only one existing CTC system with FDA approval but that has limited application for counting cells and cannot harvest cells for analysis Major opportunities for commercial growth and collaboration −compatibility with existing major medtech analytical platforms (Roche, Illumina, Abbott, Life Technologies, Qiagen, Hologic, Agilent, Siemens Healthcare, bioMérieux etc) −key value generation for major pharma (development of new drugs, selection of patients for existing drugs, companion diagnostics)
  • 4. © ANGLE plc 2014 Page 4 US leads worldwide focus on personalized cancer care “Personalized cancer care is the future of medicine. The faster we can develop cancer treatments that are tailored to the individual characteristics of each patient, the better we can concentrate interventions on those who will benefit the most from them and avoid the expense, side effects and emotional involvement on those who will not.” “Each person is unique; each tumor is unique. This seemingly simple truth is the premise of personalized cancer therapy, a growing field based on analyzing these differences to find keys to unlock the mysteries of cancer.” “A tumor contains a varied mix of cancer cells and the mix is constantly changing. This is known as tumor heterogeneity. The cells may have different sets of genes turned on and off — phenotypic heterogeneity — or have different numbers of genes and chromosomes — genetic heterogeneity.” “Personalized treatment involves identifying characteristics of individual patients' tumors in order to determine their responsiveness to specific chemotherapy drugs. … to determine which tumors are sensitive to a given drug and equally important, which tumors are resistant to specific drugs.”
  • 5. © ANGLE plc 2014 Page 5 Personalized cancer care Incidence of cancer growing. 1 in 3 people will suffer from cancer −14 million new cases in 2012 up from 12.7 million cases in 2008 −8.2 million deaths up from 7.6 million Characteristic of cancer is that it continually evolves and mutates −Each patient’s cancer is different −The individual patient’s cancer changes over time Effective treatment requires personalized care −Understanding patient’s cancer −Selecting drugs that target their specific cancer −Advanced analytical techniques provide the key Healthcare economic pressures −Efficient and effective use of resources Major pharma are developing much more selective drugs −Colorectal cancer KRAS+ Cetuximab (Merck Serono) −Lung cancer EGFR+ Iressa (AstraZeneca) −Breast cancer HER2+ Herceptin (Genentech)
  • 6. © ANGLE plc 2014 Page 6 Obtaining cancer cells for analysis Existing approach: solid tumour biopsy Clinicians cut out part of the tumour and analyse the cancer cells −Breast cancer mastectomy or lumpectomy −Colorectal cancer colonoscopy tumour biopsy −Prostate cancer fine needle biopsy and prostatectomy Difficulty in accessing some tumours −Pancreatic cancer −Lung cancer −Brain cancer Repeat tumour biopsy to see how the cancer may have changed is problematic as tissue not available for excision New approach: “liquid biopsy” harvest cancer cells from blood Intense medical interest in liquid biopsy Non-invasive, repeatable, cost effective Challenge is only one CTC in one billion blood cells
  • 7. © ANGLE plc 2014 ANGLE’s Parsortix system for capturing cancer cells Page 7 Inlet Outlet Patented Separation Step Plan View Cross Section Captured CTCs White blood cells Red blood cells pass through Blood Flow Platform technology The Parsortix system is a platform technology for harvesting rare cells from blood. In addition to cancer cells, other cells can be captured including fetal cells from maternal blood.
  • 8. © ANGLE plc 2014 Page 8 ANGLE’s patented Parsortix system First Family – Granted US Patent (expiry 8 November 2026) stepped, microscale cell separators for fluid flow and cell separation Second Family – Granted US Patent and patents pending worldwide (US expiry 2029) fetal cells and tumor cells specifically disclosed Third Family – Patents filed (20 years coverage) new capabilities
  • 9. © ANGLE plc 2014 Page 9 Parsortix cassette: captured cancer cells Lines are the Parsortix cell separation steps Two outer Steps (RHS) are 20µm apart. The inner steps are 10µm apart Large PC3 cells are shown captured on the outer steps Blood flow Source: University of Surrey Oncology Dept CK20 – green CD45 – red Nuclear stain - blue Prostate cancer cells Colorectal cancer cells
  • 10. © ANGLE plc 2014 Page 10 Key opinion leaders United Kingdom Positive evaluation. Key advantages: −High level of capture (80-100%) and harvest (60-100%) −Does not use antibody capture −Exceptionally low WBC contamination −Harvested cells can be analysed Colorectal cancer patient validation −High CTC capture rate −Parsortix system demonstrated twice the sensitivity of currently accepted clinical practice for CTC capture Cambridge Parsortix laboratory −Bowel cancer including colorectal, pancreatic and oesophageal cancers −New drug compounds −Gene mutation analysis and next- generation sequencing (NGS)
  • 11. © ANGLE plc 2014 Page 11 Key opinion leaders Europe European leader in CTCs Successful six month evaluation Works with a wide range of cancers and all types of cancer cells Developing a liquid biopsy solution Specialising in ovarian cancer, which does not work with antibody systems Key player in Europe wide ovarian cancer group Testing RNA analysis with plans to move into drug trials
  • 12. © ANGLE plc 2014 Page 12 Key opinion leaders United States Professor Julie Lang, breast cancer surgeon American Society for Clinical Oncology guidelines Comparison of simple blood test using Parsortix with metastatic biopsy such as liver resection RNA and protein analysis including HER2 expression Professor Massimo Cristofanilli, acknowledged leader in CTCs since 2004 “ANGLE’s Parsortix system offers the potential for two important advances. Firstly it captures all the relevant types of CTCs and secondly it provides an efficient means to harvest the cells for analysis”
  • 13. © ANGLE plc 2014 Page 13 Technical advantages of Parsortix over competing approaches Parsortix patented step system is simple, effective and affordable −Easy to use, automated, low user input Parsortix is a high performance, versatile system −Captures a high proportion of CTCs −Can be used with all solid tumour cancers (including breast, prostate, lung, colorectal, pancreatic, ovarian, cervical, brain) −Captured CTCs are intact, viable and undamaged −CTCs can be harvested (recovered from system) for analysis −Purity of CTCs very high (i.e. very low background contamination from white blood cells) allowing direct molecular analysis of harvested cells System does not use antibodies to capture cells −Antibody systems miss key target cells and do not work at all for some cancers −Antibody capture can compromise downstream molecular analysis −Antibody systems are complicated and expensive System does not use membranes to capture cells −Membrane systems can clog up and have high background contamination −CTCs cannot easily be harvested for analysis
  • 14. © ANGLE plc 2014 Page 14 Market advantages of Parsortix over competing approaches FDA submission in process −Potential to be the first FDA authorised CTC harvesting system In-house not CLIA (certified laboratory) remote service −Offer the hospitals a system that they can use in their own labs −Competitor systems without FDA approval can only offer a remote service −Parsortix in-house operation offers hospital customers a source of revenue Low production costs of machine and consumable −High margin potential −Cost competitive advantage −No costly antibodies Open source with wide application −All solid cancers and all applications −Designed to work with existing medtech platforms (not to compete with them) Compatible with cell-free DNA analysis −A single patient sample can be used for cell-free DNA and Parsortix CTC analysis −Parsortix RNA and protein analysis in addition to the DNA analysis of cell-free DNA
  • 15. © ANGLE plc 2014 Page 15 How ANGLE intends to secure its market position Focus on translational research with major US and international cancer centers (key opinion leaders) Go to market via commercial collaborations with major medtech and pharma companies Key opinion leader reporting on clinical applications supported by pilot studies Patient studies to support clinical applications FDA authorisation Roll out of sales
  • 16. © ANGLE plc 2014 Page 16 Summary Parsortix system harvests cancer cells from blood for analysis providing a liquid biopsy (simple blood test) and meets a major medical need: −Personalized cancer care −Early diagnosis, companion diagnostics and remission monitoring −Reduced costs Regulatory authorisation is in place in Europe and FDA is in process in United States ANGLE has established partnerships with world-leading cancer research groups to −Develop clinical applications −Undertake patient studies −Provide key opinion leader support Moving into commercialisation phase with partnerships with major medtech and pharma corporates planned Parsortix system + regulatory authorisation + clinical application + patient data + key opinion leader = $bn market
  • 17. © ANGLE plc 2014 Page 17 Personalized cancer care “Personalised medicine is the most exciting change in cancer treatment since the invention of chemotherapy” Professor Peter Johnson, Chief Clinician, Cancer Research UK “Personalized cancer care is the future of medicine. The faster we can develop cancer treatments that are tailored to the individual characteristics of each patient, the better we can concentrate interventions on those who will benefit the most from them and avoid the expense, side effects and emotional involvement on those who will not.” “The evaluation phase of our work is now successfully complete and we see great promise in the application of the Parsortix technology for harvesting CTCs for molecular analysis to enable personalised cancer care. We are now undertaking pilot studies using the Parsortix system in both colorectal cancer and pancreatic cancer.” Deputy and Genomics Leader within the Clinical & Experimental Pharmacology group at Cancer Research UK Manchester Institute, Ged Brady “This agreement will greatly facilitate the use of ANGLE’s Parsortix system in our research, and that of other colleagues in Cambridge. We foresee several exciting research avenues to test different applications of the Parsortix system in the diagnosis and personalised treatment of cancer.” Medical Research Council Cancer Unit Director, Professor Ashok Venkitaraman
  • 18. © ANGLE plc 2014 Page 18 Extensive clinical value in analysing CTCs Potential Applications Diagnosis Prognosis Mutational analysis and drug selection Drug development Treatment / drug effectiveness Remission monitoring Nature Medicine 11 November 2013: Tumor metastasis: moving new biological insights into the clinic Liling Wan (Princeton University), Klaus Pantel (Hamburg University), Yibin Kang (Cancer Institute of New Jersey)
  • 19. © ANGLE plc 2014 Page 19 Large growing market Crucial drivers for diagnostics Early detection Targeted medication Reduced costs * Frost and Sullivan – Market research 2011 ** Jain Pharma Biotech June 2011 Current molecular cancer testing market (a subset of the Parsortix market) More than 1 in 3 people will get cancer Growth in cancer worldwide • Age • Developing countries • Smoking • Obesity • Lack of exercise • Alcohol • Other unknown Deaths p.a. Annual (2012) Incidence Mortality Prevalence Lung 1,824,701 1,589,925 1,893,078 Breast 1,676,633 521,907 6,255,391 Colorectum 1,360,602 693,933 3,543,582 Prostate 1,111,689 307,481 3,923,668 Cervix, uterus and ovary 1,085,948 493,749 3,350,289 Stomach 951,594 723,073 1,538,127 Blood 917,907 570,629 1,751,783 Liver 782,451 745,533 633,170 Other 4,378,624 2,555,345 7,504,065 Total 14,090,149 8,201,575 32,544,633 Source: International Agency on Cancer Research: World cancer factsheet August 2012 People alive who have had cancer New cancer sufferers p.a.
  • 20. © ANGLE plc 2014 Page 20 Board and Senior Management Non-executive Chairman, Garth Selvey BSc in Physics and Electronics Engineering. 36 years computer industry. Comino Group plc. Chief Executive, Andrew Newland MA Engineering from Cambridge, Chartered Accountant. 25 years, building technology-based businesses 15 years specialist medtech Finance Director, Ian Griffiths BSc Mathematics with Management Applications and Chartered Accountant. Technology commercialisation 20 years new technology based businesses Non-executive director, Brian Howlett. Lombard Medical Technologies PLC. Boston Scientific Ltd. Cobe Laboratories Inc. 20 years pharmaceuticals Fisons plc US Vice President, Peggy Robinson B.S., Biology / Medical Technology American Society of Clinical Pathologists Director of marketing for Johnson & Johnson company Veridex, responsible for CellSearch® Research Use Chief Technology Officer, Dr Shane Booth PhD Biochemistry. Post doctoral experience Fred Hutchinson Cancer Center in Seattle. Sales, marketing and business development in laboratory equipment with Sartorius and Anderman Business Development Director, Michael O’Brien MA Engineering from Cambridge. MBA specialising in technology commercialisation. 8 years in strategy and operations and work with Diageo on manufacturing and technology strategy Head of Manufacturing and Regulatory, Martin Cooke MEng degree in Electrical and Electronic Engineering. Chartered Engineer. Previously product manager global telecommunications responsible for product development and market introductions
  • 21. © ANGLE plc 2014 Page 21 Scientific Advisers Dr Harold Swerdlow, VP of Sequencing at the New York Genome Centre. Formerly, Head of Research and Development for the Wellcome Trust Sanger Institute, expert in next-generation sequencing (NGS). Inventor of NGS at Solexa acquired by Illumina Dr Ashok Venkitaraman, Professor of Cancer Research at the University of Cambridge. Director of Medical Research Council’s Cancer Cell Unit. Joint Director of the Medical Research Council Hutchison Cancer Research Centre Dr Adrian Newland, Professor of Haematology at Barts Health NHS Trust and Queen Mary University of London. Chair, Diagnostics Assessment for National Institute for Health and Clinical Excellence (NICE) for new diagnostics. Member NICE Group for cancer drugs Dr Clive Stanway, Chief Scientific Officer of CRUK’s Cancer Research Technology. Expert in cancer drug discovery and key role in working closely with major pharmaceutical partners
  • 22. © ANGLE plc 2014 Page 22 Financials year end 30 April (shown in GBP £’000) 2014 2013 Statement of Comprehensive Income £’000 £’000 Revenue 801 969 Investments portfolio gain 1,334 514 2,135 1,483 Operating costs (3,485) (2,556) Other income 112 42 Loss before tax (1,238) (1,031) Statement of Financial Position 30Apr14 30Apr13 Investments 601 3,961 Trade and other receivables 328 454 Inventories 52 62 Cash 3,898 1,828 Property, plant and equipment 139 138 Intangible assets 1,142 1,080 Total assets 6,160 7,523 Listed on London Stock Exchange AIM market; IPO 2004 45,243,059 issued shares trading at c. $1.15 American Depositary Receipts with BNY Mellon trading on OTC-QX 1 ADR = 10 shares trading at c. $11.50 Stock liquidity 90 day average volume c. $150,000 / day
  • 23. © ANGLE plc 2014 Page 23 Andrew Newland ANGLE plc 3 Frederick Sanger Road 3711 Market Street The Surrey Research Park University Science Center 8th floor Guildford GU2 7YD Philadelphia PA 19104 United Kingdom USA Tel: +44 1483 685830 +1 (267) 265 6761 Email: andrew.newland@ANGLEplc.com Website: www.ANGLEplc.com Contact details