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Bringing psoriasis
into the light
Geneva Pharma Forum 9 May 2014
Kim Kjøller, Senior Vice President, Global
Development, LEO Pharma
14 May 2014
p. 01
Psoriasis: A chronic, non-
communicable disease affecting over
125 million people worldwide
Psoriasis appears on the skin, most often as
thickened, red, scaly patches that often itch
and may bleed. It is a non-contagious,
chronic, inflammatory disease that can be
both painful and disabling.ii
More people with psoriasis need better
access to the medical care and appropriate
solutions for either their psoriasis or for the
psychosocial issues they may face as a result
of their psoriasis.ii
People with psoriasis report feeling
embarrassed and helpless due to their
condition.ii
14 May, 2014
p. 02
Picture: Nestle FO et al. N Engl J Med 2009;361:496-509
i "Facts about Psoriasis." Ed. Catie Coman. National Psoriasis Foundation, 2012.
Web. 19 Dec. 2012. <http://www.psoriasis.org/document.doc?id=1492>.
ii "Psoriasis and Mental Health Issue Brief." National Psoriasis Foundation, Jan. 2012. Web. 11 Dec. 2012
<http://www.psoriasis.org/document.doc?id=350>.
 People with severe psoriasis die four years younger, on
average, than people without the disease. iii
 As many as 30% of people with psoriasis will be diagnosed with
psoriatic arthritis, a specific form of arthritis that is painful and
debilitating and causes joint damage.ii
 Psoriasis increases the risk of developing diabetes,
independent of factors such as weight, hypertension and high
cholesterol.iv
 One study showed that psoriasis patients have a 44% increased
risk of suicidal thoughts, suicide attempts or completed
suicides compared to the general population.v Another study
showed that almost 10% of psoriasis patients surveyed reported a
wish to be dead.vi
Burden of Disease
How psoriasis affects patients
iii Gelfand JM, et al. Arch of Dermatol. 2007 Dec;143(12):1493-9.
iv Neimann AL, et al. J Am Acad Dermatol. 2006;55(5):829-35.
vKurd Sk, et al. Arch of Dermatol. 2010 Aug:146(8)891-5.
vi Gupta MA, Gupta AK. Br J Dermatol 1998;139:846-50.
Psoriasis Pipeline Projects
Topicals
p. 04
14 May, 2014
Phase 1
Phase 2
Phase 3
Pre-registration
AN-2898
Anacor Pharmaceuticals
LP-001-09
LAILA
Pharmaceuticals
Pc4
Case Western Reserve
University
BYK-321084
Takeda Pharma
SHP-141
Shape
Pharmaceuticals
ENN-01
Ennar Pharrma
SOM-0606
Ennar Pharrma
BCT194
Novartis
Aganirsen
Gene Signal
AN-2728
Anacor Pharmaceuticals
Apo805K1
ApoPharma
BFH-772
Novartis
CT-327
Creabilis
Cyclosporine
Advancell
DPS-151
DermsPsor
E-6201
Eisai
IDP 118
Valeant
LAS-41004
Almirall
PH 10
IMCOR
Ruxolitinib
Incyte Corp
Tofacitinib
Pfizer Valrubicin
Valderm
Nia-114
Niadyne Pharma
Clobetasol
proprionate
Foamix
AKVANO
Lipidor
DLX-105
Delenex
Therapeutics
AS-101
BioMasAuranofin
Viralytics
MOL4249
Moleculin
DD 25
Fortuderm
Triamcinolone
acetonide
Nuvo Research
Methotrexate
MediQuest
Betamethasone
Valerate 0.12%
Foamix
TU-2100
Tammarking
AM-001
DermAct
Benvitimod
Stiefel
Pefcalcitol
Maruho
Tacrolimus
Novaliq
DFD01
Promius Pharma
Ulobetasol
Therapeutics
Unknown formulation Spray/Foam Microemulsion Lotion Cream Ointment Gel
4 - 6 years to market
2 - 4 years to market
1 year to market
Tazarotene +
betamethasone
Chongging
Huapont Pharma
*Source: Cortellis and ADIS
Psoriasis Pipeline Projects
Biologics
14 May 2014
p. 05
Phase 1
Phase 2
Phase 3
Pre-registration
BTT-1023
BioTie Therapies
CJM
Novartis
AGM-811
Amgen
BI-655066
Boehringer Ingelheim
18C3
X-Biotech
AbGn-168
AbGenomics
Intravenous Subcutaneous Injectable
ASKP1240
Astellas Pharma
Tregalizumab
AbbVie
Guselkumab
Janssen Biotech
IMO-3100
Idera Pharmaceuticals
Inecalcitol
Hybrigenics
IMO-8400
Idera Pharmaceuticals
4 - 6 years to market
3 - 4 years to market
1 year to market
Brodalumab
Amgen Inc
Ixekizumab
Eli Lilly & Co.
KHK-4827
Amgen
Tildrakizumab
Schering-Plough
Corp/Merck
Secukinumab
Novartis
Etanercept Biosimilar
Sandoz
*Source: Cortellis and ADIS
Adalimumab Biosimilar
Sandoz
Psoriasis Pipeline Projects
Orals
14 May 2014
p. 06
Phase 1
Phase 2
Phase 3
Pre-registration
4 - 6 years to market
2 - 4 years to market
1 year to market
*Source: Cortellis and ADIS
Otezla® (Apremilast)
Celgene
CM-2489
TorreyPines/CalciMedica
CT-1578
Cell Theraputics
PRX-167700
Proximagen Group
Trichuris suis ova
Coronado Biosciences
XP-23829
Xenoport Inc.
Aminopterin
Syntrix Biosystems
ASP 015K
Astellas Pharma
Dimethyl fumarate
Forward Pharma
Baricitinib
Incyte Corp/Eli LillyPonesimod
Actelion Ltd SRT 2104
Sirtris Pharma, a
GSK company
VB-201
VBL Therapeutics
Erlotinib
OSI Pharmaceuticals
CH-1504
Chelsea Therapeutics
FX-125L
Boehringer Ingelheim
HBP-347
Hy BioPharma
MT-1303
Mitsubishi Tanabe Pharma
INCB-039110
Incyte Corp
LLL 3348
Lupin
CF-101
Can-Fite BioPharma
Tofacitinib
Pfizer
LAS 41008
Almirall
Voclosporin
Aurina Pharmaceuticals
Inecalcitol
Hybrigenics
14 May 2014
p. 07
“A strong programmatic and multidisciplinary approach to
disease management that includes the coordination of care with
specialists and other health care professionals, as well as
consideration of patients’ needs and preferences are central to
the management of all non-communicable diseases including
psoriasis.”
- WHO Psoriasis Report, 2013
Giving patients control of their disease
We go beyond products to offer
complete care solutions
• Patient support services empowers people to take control of their skin
condition
• Our care offerings aim to deliver precise and personalised information
to patients – across all therapy areas
Data collection
What gaps do we need to fill?
14 May, 2014
p. 09
Example of interactive disease atlas
WHO Psoriasis
Resolution
14 May 2014
p. 010
The goal of getting the WHO psoriasis
resolution adopted is a necessary
challenge that must be met in order to
create a better environment for
psoriasis patients to lessen the stigma
and discrimination they endure.

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21. Maurice Mayrides - Esperantra
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20. Ubier Gomez - University of Antioquia
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19. Agnes Klein - Health Canada
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18. Raffaella Balocco - WHO
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17. Gino Grampp - Amgen
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16. Malin Fladvad - Uppsala Monitoring Centre
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14. Laura Castanheira - Anvisa
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9 Karin Heidenreich - Novartis
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12 Dr. Thomas Schreitmueller Roche
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Bringing Psoriasis into the Light, Kim kjoeller, Leo Pharma

  • 1. Bringing psoriasis into the light Geneva Pharma Forum 9 May 2014 Kim Kjøller, Senior Vice President, Global Development, LEO Pharma 14 May 2014 p. 01
  • 2. Psoriasis: A chronic, non- communicable disease affecting over 125 million people worldwide Psoriasis appears on the skin, most often as thickened, red, scaly patches that often itch and may bleed. It is a non-contagious, chronic, inflammatory disease that can be both painful and disabling.ii More people with psoriasis need better access to the medical care and appropriate solutions for either their psoriasis or for the psychosocial issues they may face as a result of their psoriasis.ii People with psoriasis report feeling embarrassed and helpless due to their condition.ii 14 May, 2014 p. 02 Picture: Nestle FO et al. N Engl J Med 2009;361:496-509 i "Facts about Psoriasis." Ed. Catie Coman. National Psoriasis Foundation, 2012. Web. 19 Dec. 2012. <http://www.psoriasis.org/document.doc?id=1492>. ii "Psoriasis and Mental Health Issue Brief." National Psoriasis Foundation, Jan. 2012. Web. 11 Dec. 2012 <http://www.psoriasis.org/document.doc?id=350>.
  • 3.  People with severe psoriasis die four years younger, on average, than people without the disease. iii  As many as 30% of people with psoriasis will be diagnosed with psoriatic arthritis, a specific form of arthritis that is painful and debilitating and causes joint damage.ii  Psoriasis increases the risk of developing diabetes, independent of factors such as weight, hypertension and high cholesterol.iv  One study showed that psoriasis patients have a 44% increased risk of suicidal thoughts, suicide attempts or completed suicides compared to the general population.v Another study showed that almost 10% of psoriasis patients surveyed reported a wish to be dead.vi Burden of Disease How psoriasis affects patients iii Gelfand JM, et al. Arch of Dermatol. 2007 Dec;143(12):1493-9. iv Neimann AL, et al. J Am Acad Dermatol. 2006;55(5):829-35. vKurd Sk, et al. Arch of Dermatol. 2010 Aug:146(8)891-5. vi Gupta MA, Gupta AK. Br J Dermatol 1998;139:846-50.
  • 4. Psoriasis Pipeline Projects Topicals p. 04 14 May, 2014 Phase 1 Phase 2 Phase 3 Pre-registration AN-2898 Anacor Pharmaceuticals LP-001-09 LAILA Pharmaceuticals Pc4 Case Western Reserve University BYK-321084 Takeda Pharma SHP-141 Shape Pharmaceuticals ENN-01 Ennar Pharrma SOM-0606 Ennar Pharrma BCT194 Novartis Aganirsen Gene Signal AN-2728 Anacor Pharmaceuticals Apo805K1 ApoPharma BFH-772 Novartis CT-327 Creabilis Cyclosporine Advancell DPS-151 DermsPsor E-6201 Eisai IDP 118 Valeant LAS-41004 Almirall PH 10 IMCOR Ruxolitinib Incyte Corp Tofacitinib Pfizer Valrubicin Valderm Nia-114 Niadyne Pharma Clobetasol proprionate Foamix AKVANO Lipidor DLX-105 Delenex Therapeutics AS-101 BioMasAuranofin Viralytics MOL4249 Moleculin DD 25 Fortuderm Triamcinolone acetonide Nuvo Research Methotrexate MediQuest Betamethasone Valerate 0.12% Foamix TU-2100 Tammarking AM-001 DermAct Benvitimod Stiefel Pefcalcitol Maruho Tacrolimus Novaliq DFD01 Promius Pharma Ulobetasol Therapeutics Unknown formulation Spray/Foam Microemulsion Lotion Cream Ointment Gel 4 - 6 years to market 2 - 4 years to market 1 year to market Tazarotene + betamethasone Chongging Huapont Pharma *Source: Cortellis and ADIS
  • 5. Psoriasis Pipeline Projects Biologics 14 May 2014 p. 05 Phase 1 Phase 2 Phase 3 Pre-registration BTT-1023 BioTie Therapies CJM Novartis AGM-811 Amgen BI-655066 Boehringer Ingelheim 18C3 X-Biotech AbGn-168 AbGenomics Intravenous Subcutaneous Injectable ASKP1240 Astellas Pharma Tregalizumab AbbVie Guselkumab Janssen Biotech IMO-3100 Idera Pharmaceuticals Inecalcitol Hybrigenics IMO-8400 Idera Pharmaceuticals 4 - 6 years to market 3 - 4 years to market 1 year to market Brodalumab Amgen Inc Ixekizumab Eli Lilly & Co. KHK-4827 Amgen Tildrakizumab Schering-Plough Corp/Merck Secukinumab Novartis Etanercept Biosimilar Sandoz *Source: Cortellis and ADIS Adalimumab Biosimilar Sandoz
  • 6. Psoriasis Pipeline Projects Orals 14 May 2014 p. 06 Phase 1 Phase 2 Phase 3 Pre-registration 4 - 6 years to market 2 - 4 years to market 1 year to market *Source: Cortellis and ADIS Otezla® (Apremilast) Celgene CM-2489 TorreyPines/CalciMedica CT-1578 Cell Theraputics PRX-167700 Proximagen Group Trichuris suis ova Coronado Biosciences XP-23829 Xenoport Inc. Aminopterin Syntrix Biosystems ASP 015K Astellas Pharma Dimethyl fumarate Forward Pharma Baricitinib Incyte Corp/Eli LillyPonesimod Actelion Ltd SRT 2104 Sirtris Pharma, a GSK company VB-201 VBL Therapeutics Erlotinib OSI Pharmaceuticals CH-1504 Chelsea Therapeutics FX-125L Boehringer Ingelheim HBP-347 Hy BioPharma MT-1303 Mitsubishi Tanabe Pharma INCB-039110 Incyte Corp LLL 3348 Lupin CF-101 Can-Fite BioPharma Tofacitinib Pfizer LAS 41008 Almirall Voclosporin Aurina Pharmaceuticals Inecalcitol Hybrigenics
  • 7. 14 May 2014 p. 07 “A strong programmatic and multidisciplinary approach to disease management that includes the coordination of care with specialists and other health care professionals, as well as consideration of patients’ needs and preferences are central to the management of all non-communicable diseases including psoriasis.” - WHO Psoriasis Report, 2013 Giving patients control of their disease
  • 8. We go beyond products to offer complete care solutions • Patient support services empowers people to take control of their skin condition • Our care offerings aim to deliver precise and personalised information to patients – across all therapy areas
  • 9. Data collection What gaps do we need to fill? 14 May, 2014 p. 09 Example of interactive disease atlas
  • 10. WHO Psoriasis Resolution 14 May 2014 p. 010 The goal of getting the WHO psoriasis resolution adopted is a necessary challenge that must be met in order to create a better environment for psoriasis patients to lessen the stigma and discrimination they endure.