Full Press Release Details
Investor Presentation | November 11,
2019 A Compelling Dermatology Combination Exhibit 99.1
Forward-Looking Statements This
presentation contains forward-looking statements within the meaning of the federal securities law that are subject to various risks and uncertainties that could cause our actual results to differ materially from those expressed or implied in such
statements. Words such as "anticipate," "expect," "project," "intend," "believe," and words and terms of similar substance used in connection with any discussion of future plans, actions or
events identify forward-looking statements. Such factors include, but are not limited to: (i) Menlo Therapeutics Inc. ("Menlo") or Foamix Pharmaceuticals Ltd. ("Foamix") may be unable to obtain stockholder approval as
required for the merger; (ii) other conditions to the closing of the merger may not be satisfied; (iii) the merger may involve unexpected costs, liabilities or delays; (iv) the effect of the announcement of the merger on the ability of Menlo or
Foamix to retain and hire key personnel and maintain relationships with customers, suppliers and others with whom Menlo or Foamix does business, or on Menlo's or Foamix's operating results and business generally; (v) Menlo's or
Foamix's respective businesses may suffer as a result of uncertainty surrounding the merger and disruption of management's attention due to the merger; (vi) the outcome of any legal proceedings related to the merger; (vii) Menlo or
Foamix may be adversely affected by other economic, business, and/or competitive factors; (viii) the occurrence of any event, change or other circumstances that could give rise to the termination of the merger agreement; (ix) risks that the merger
disrupts current plans and operations and the potential difficulties in employee retention as a result of the merger; (x) the risk that Menlo or Foamix may be unable to obtain governmental and regulatory approvals required for the transaction, or
that required governmental and regulatory approvals may delay the transaction or result in the imposition of conditions that could reduce the anticipated benefits from the proposed transaction or cause the parties to abandon the proposed
transaction; and (xi) other risks to consummation of the merger, including the risk that the merger will not be consummated within the expected time period or at all. Additional factors that may affect the future results of Menlo and Foamix are set
forth in their respective filings with the SEC, including each of Menlo's or Foamix's most recently filed Annual Report on Form 10-K, subsequent Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and other filings with the SEC,
which are available on the SEC's website at www.sec.gov. See in particular Item 1A of Part II of Menlo's Quarterly Report on Form 10-Q for the quarter ended September 30, 2019 under the heading "Risk Factors" and Item 1A of
Part II of Foamix's Quarterly Report on Form 10-Q for the quarter ended June 30, 2019 under the heading "Risk Factors." The risks and uncertainties described above and in Menlo's most recent Quarterly Report on Form 10-Q and
Foamix's most recent Quarterly Report on Form 10-Q are not exclusive and further information concerning Menlo and Foamix and their respective businesses, including factors that potentially could materially affect its business, financial
condition or operating results, may emerge from time to time. Readers are urged to consider these factors carefully in evaluating these forward-looking statements. Readers should also carefully review the risk factors described in other documents
that Menlo and Foamix file from time to time with the SEC. The forward-looking statements in this press release speak only as of the date of this press release. Except as required by law, Menlo and Foamix assume no obligation to update or revise
these forward-looking statements for any reason, even if new information becomes available in the future. The trademarks included herein are the property of the owners thereof and are used for reference purposes only. This presentation concerns
product candidates that are under clinical investigation. None of such product candidates have been approved for marketing by the FDA or the EMA, and such product candidates are currently limited to investigational use, and no
representation is made as to their safety or effectiveness for the purposes for which they are being investigated.
Transaction Highlights Strategic
combination expected to create a scaled player in the dermatological space with enhanced financial profile Merger creating a stronger dermatology focused company Enhances the combined company's late stage pipeline and commercial opportunity
Strong balance sheet with cash through H1 2021 Acquisition of unique asset (serlopitant) with near-term potential value creating catalysts Enrollment completed for two Phase III clinical trials for pruritus associated with Prurigo Nodularis
("PN") - results expected in March / April 2020 "Orphan-like" disease with ~ 200k patients treated and estimated prevalence of 0.5-1mm in US No FDA approved treatments for PN and dermatologists see acute need for new
therapy Granted "Breakthrough Therapy" designation for PN in January 2019 Durability of asset via other potential indications, although primary focus will remain on PN indication in near term Creates a new leader in Dermatology
Platform-based company + Indication-based company = more complete & diversified product portfolio with pipeline to support durability of franchises Merger structure results in combined company domicile in Delaware
Strategic Rationale Combination
expected to create a scaled player in the dermatological space with enhanced financial profile Value creation through greater future earnings momentum (1+1=3+ earnings synergy) Potential of 3 product launches within next 24 months (each, anticipated
$100mm+ revenue) HCP target overlap ~ 80% for acne, rosacea, and PN Leverage of singular commercial infrastructure enables faster revenue ramp and improved profitability Significant opportunity to leverage commercial infrastructure for multiple
product launches AMZEEQ : (minocycline) topical foam, 4%, for treatment of moderate-to-severe acne, approved October with planned launch in January, 2020 FMX103: topical minocycline foam for treatment of moderate-to-severe rosacea PDUFA June
2020 and potential launch Q4, 2020 Serlopitant for PN: anticipated NDA filing 2H 2020 and potential launch 2H 2021 Significant cost synergies + improved balance sheet with extended cash runway Combined company savings projected to be >$50mm/yr
beginning 2021 through elimination of duplicate functions & infrastructure Opportunities to partner products OUS Combined cash from transaction creates combined entity with expected cash runway through 1H 2021 Larger company will potentially
have better access to capital markets reducing the cost of capital
Combination Overview Strategic
combination expected to create a scaled player in the dermatological space with enhanced financial profile Terms Stock-for-Stock transaction Each holder of Foamix shares will receive Menlo shares based on the results of the two Phase III trials of
Serlopitant in PN 0.5924 Menlo shares per Foamix share if both trials are successful (59% ownership) In the event of partial success or failure, the transaction structure will be amended to reflect different ownership levels (depending on timing of
results and closing, the adjustment will either be at closing or in the future through a contingent value right). In the following scenarios, each holder of Foamix shares will receive: 1.2739 Menlo shares per Foamix share if one trial fails to meet
its primary endpoint (76% ownership) 1.8006 Menlo shares per Foamix share if both trials fail to meet their primary endpoints (82% ownership) Pro Forma Combined Cash Position $169mm as of September 30, 2019(1) Cash runway expected through 1H 2021
Board of Directors 7 person board (5 from Foamix; 2 from Menlo Therapeutics) Management Foamix management to run the combined entity headquartered in New Jersey Transaction Close Expected in late Q1/ early Q2 2020 Pro forma cash balance as of
September 30, 2019. 1
Diversified Dermatology-Focused
Pipeline with Near Term Milestones Safety and efficacy of these investigational products have not been established. There is no guarantee that pipeline products will receive FDA approval or become commercially available. Preclinical Phase I Phase II
Phase III Approved / Marketed Key Milestones NDA approval of first topical minocycline NDA submitted in August 2019 PDUFA June 2nd, 2020 Phase II FPI Q3 2019 TLR anticipated mid-2020 Phase III TLR anticipated March/April 2020 Phase II completed Ph
II TLR anticipated Jan/Feb 2020 Prurigo Nodularis Pruritus Psoriasis Pruritus Chronic Pruritus of Unknown Origin AMZEEQ (minocycline) topical foam, 4% (formerly, FMX101) FMX103 moderate-to-severe papulopustular rosacea FCD105 moderate-to-severe acne
Image courtesy of Prof. Sonja Stander,
University Munster Serlopitant is a once-daily, highly selective oral small molecule NK1 Receptor Antagonist, being developed for the treatment of pruritus associated with PN Prurigo Nodularis Prurigo Nodularis (PN) occurs along with chronic
pruritus and presents with symmetrically distributed intensively itchy papules, nodules and/or plaques Prurigo nodularis is a severely pruritic chronic skin disorder Characterized by multiple, firm, itchy inflamed skin nodules typically
found on a patient's arms, legs and trunk Results from a vicious cycle of repeated itching and scratching Itching sensation is extreme and often leads to scratching to the point of bleeding and pain Primarily effects older adults Topical
agents (eg: corticosteroids, calcineurin inhibitors) commonly used as first-line therapies for PN with limited effectiveness No approved therapies in US or EU Clinical Presentation of PN
Serlopitant PII Study Results (N=127)
Met the primary endpoint and multiple secondary endpoints. Approximately 50% of subjects met the Phase 3 responder criterion (at least a 4-point improvement in WI-NRS) at Week 8. Four Point Responder Analysis (Week 8) Phase 2 Primary Endpoint:
Change From Baseline (Week 8) Worst Itch NRS Average Itch VAS VAS: Visual Analogue Scale WI-NRS: Worst Itch-Numerical Rating Scale
Ongoing NULARIS PIII Studies in PN
Phase 3 Design Clinical Status and Milestones Phase 3:Subject enrollment complete for both MTI-105 and MTI-106 with topline results expected March/April 2020. N=285 US study (1:1) N=295 EU study (1:1) Presence of PN 6 weeks. 10 PN
nodules on at least 2 anatomical areas. WI-NRS score 7 within 24hr of screening visit. Exclusion of active non-PN pruritic skin disease. One primary endpoint: WI-NRS 4-pt responder rate at Week 10. Serlopitant 5mg, N=140 Placebo, N=140
Serlopitant 5mg, N>450 (PN, atopic dermatitis and psoriasis subjects) Serlopitant 5mg, N=140 Placebo, N=140 MTI-105 (46 US sites) MTI-106 (39 EU sites) MTI-107 (US & EU sites) 10 week treatment 3-5 week follow-up 2-4 week screening 52 week
treatment 5 week follow-up
AMZEEQ (minocycline) topical
foam, 4% is indicated for the treatment of inflammatory lesions of non-nodular moderate to severe acne vulgaris in adults and pediatric patients 9 years of age and older. Limitations of Use: This formulation of minocycline has not been
evaluated in the treatment of infections. To reduce the development of drug-resistant bacteria as well as to maintain the effectiveness of other antibacterial drugs, AMZEEQ should be used only as indicated. Select Important Safety Information
Adverse Reactions: The most common adverse reaction reported during clinical trials of AMZEEQ was headache. Please visit www.amzeeq.com for important safety for full prescribing information.
Stabilizes hydrophobic molecules
Surfactant & irritant free formulation maintains barrier function, improves tolerability and compliance1 Low mechanical sheer enhances spreadability Being investigated to deliver unstable drugs that have proven difficult to formulate topically
Oil-based excipients may instigate sebum dissolution2 Targets delivery of minocycline directly into the pilosebaceous unit2 Molecule Stabilizing Technology (MST) Novel Molecule Stabilizing Technology (MST) Delivery (1) Hazot Y, et al.
J Anal Pharm Res. 2017;4(5):00117. (2) Data on file. aa Minocycline (Est. 1972): Broad-spectrum bacteriostatic antibiotic commonly used for the treatment of acne vulgaris Previously only available in orally administered formulation Minocycline is
known for its efficacy in treating acne: Anti-inflammatory mechanism Impact on Cutibacterium acnes Systemic related side effects may limit broader use Topical administration challenge: Minocycline degrades rapidly in the presence of water and protic
solvents No topical formulation feasible for nearly 50 years Minocycline is Well Established as an Efficacious Acne Treatment
AMZEEQ Phase 3 Efficacy Results in
Moderate to Severe Acne
AMZEEQ Phase 3 Efficacy Results in
Moderate to Severe Acne
ANCOVA, ITT population, multiple
imputation FMX103 Phase 3 Study Results Studies in Papulopustular Rosacea Studies FX2016-11 and FX2016-12
ANCOVA, ITT population, multiple
imputation FMX103 Phase 3 Study Results Studies in Papulopustular Rosacea Studies FX2016-11 and FX2016-12
Commercial Opportunities
Attractive Commercial Opportunity in
PN IQvia.estimate for 2017. Menlo internal estimate. Estimates based on company payer research and symptom relief analogs ~200k PN patients treated each year(1) ~500k - 1m patients in US(1) On therapy two to six months per year(2)
$900-$2,400 per month(3) 75% of PN patients are diagnosed by a dermatologist ~5k derms treat majority of PN patients Estimated 50 person field force could reach high-prescribing derms If approved, serlopitant would be first to market in PN
Will explore opportunities to partner OUS
Acne Market Size1 Source: (1)
Symphony Health Solutions PHAST, data ending DEC'18- weighted 18M Brand vs. Generic Acne TRx Volume 2018 Generic 12.9M 71% Brand 5.2M 29% Brand vs. Generic Acne $ Volume 2018 Generic $1.7B 33% Brand $3.4B 67% $5.2B
Rosacea Market Size1 Source: (1)
Symphony Health Solutions PHAST, data ending DEC'18- weighted 5M Brand vs. Generic Rosacea TRx Volume 2018 Generic 3.4M 72% Brand 1.3M 28% Brand vs. Generic Rosacea $ Volume 2018 Generic $454.8M 37% Brand $759.2M 63% $1.2B
Source: Symphony Integrated
Dataverse (IDV) Patient Claims Database, Time Period: 24 months ending Feb 19 97% >170k 3% 67% Acne Sufferers 73% Acne TRx ~6k HCP Target List AMZEEQ Targeting Approach Patient Claims based targeting strategy enables Foamix to
narrow the acne diagnosing HCP field from >170k to a select ~6k providers (3%) while capturing the majority of the promotable TRx and Patient market volumes. Patient Claims Based Targeting Strategy Focusing on select HCPs that can deliver
significant impact at launch. Prioritized via choice screening measures: acne diagnosed patient volume acne TRx volume preference for a brand vs. generic early adoption preference
Territory Mapping using Patient
Concentrations Sales territories aligned to capture majority of acne patients, resulting in 51 territories and 6 regions. Mapping of Targeted Patients Concentrations across US States
~80% of PN and Rosacea patients
overlap with Foamix Sales Force alignment Internal infrastructure, data resources, and expertise leverageable to launch successfully Given small patient size and significant unmet need, expect orphan-like pricing flexibility Opportunity to Leverage
Commercial Infrastructure Prurigo Nodularis Patients Acne Patients Rosacea Patients Field Force Overlap
Opportunity to Leverage Commercial
Infrastructure Launch in January 2020 50 million people of US (1) Prevalence age 12-24 Moderate-to-severe acne affects ~10 million people in the US >14 million physician visits per year for treatment of acne (2) PDUFA in June 2020 Rosacea is a
chronic inflammatory disorder that affects ~16 million adults in the US (3) Prevalence age 30-60 More common in Caucasian population File NDA in 2H'2020 Prurigo Nodularis (PN) is a chronic intensely pruritic skin condition where scratching
leads to nodules which lead to more itch No approved therapies in US or EU Attractive commercial opportunity with 500K - 1m patients in US (4) Will explore opportunities to partner OUS Shared Infrastructure The Combined Company's AMZEEQ
Salesforce can Support these Products with Minimal Additional Investment Sales Force Convention Advertising Media Purchasing Internal Infrastructure Sample Management Trade & Distribution Apparatus Data Purchasing Field Reimbursement Team Field