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Biohaven - Investor Presentation - JUNE
Biohaven - Investor Presentation - JUNE
Forward-Looking Statement
This presentation includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act
of 1995, including statements about Biohaven Ltd. (the “Company”) and our planned and ongoing trials for our BHV-2100, troriluzole, BHV-
5500, BHV-1100, BHV-1200, Taldefgrobep Alfa, BHV-8000, BHV-7000 and BHV-7010 development programs, the timing of and the
availability of data from our clinical trials, the timing and our decisions to proceed with our planned regulatory filings, the timing of and our
ability to obtain regulatory approvals for our product candidates, the clinical potential utility of our product candidates, alone and as
compared to other existing potential treatment options, and the potential advancement of our early phase programs including ARM™,
MATE™, MODE™, TRPM3, TDP-43, UC1MT, TYK2/JAK1, and Kv7. The use of certain words, including “continue”, “plan”, “will”, “believe”,
“may”, “expect”, “anticipate” and similar expressions, is intended to identify forward-looking statements. Investors are cautioned that any
forward-looking statements, including statements regarding the future development, timing and potential marketing approval and
commercialization of our development candidates, are not guarantees of future performance or results and involve substantial risks and
uncertainties. Actual results, developments and events may differ materially from those in the forward-looking statements as a result of
various factors including: the expected timing, commencement and outcomes of Biohaven's planned and ongoing clinical trials; the timing
of planned interactions and filings with the Food and Drug Administration; the timing and outcome of expected regulatory filings; complying
with applicable U.S. regulatory requirements; the potential commercialization of Biohaven's product candidates; the potential
for Biohaven's product candidates to be first in class or best in class therapies; and the effectiveness and safety of Biohaven's product
candidates. You should, therefore, not rely on these forward-looking statements as representing our views as of any date subsequent to
the date of this presentation. Additional important factors to be considered in connection with forward-looking statements are described in
the Company’s filings with the Securities and Exchange Commission, including within the sections titled “Risk Factors” and “Management’s
Discussion and Analysis of Financial Condition and Results of Operations”. This presentation also contains market data and other
information based on industry publications, reports by market research firms or published independent sources. Some market data and
information is also based on the Company’s good faith estimates, which are derived from management’s knowledge of its industry and
such independent sources referred to above.
$13B
Through state- With a
of-the-art drug commitment to
discovery and transforming
passionate patients’ lives
— KATRINA
scientists With a
— LARRY
Because we are
powerful passionate
R&D engine We never
forget about the work
— JAVIER
patients we do everyday
— FRANCINE
need us.
— JEREMY
HIGH VALUE INNOVATIVE PROVEN BUSINESS
PLATFORMS PORTFOLIO FORMULA
INFLAMMATORY:
TYK2/JAK1 BHV-8000 | Neuroinflammatory Disorders
TYK2/JAK1 INHIBITOR
BISPECIFIC TARGETED
CD-38 BHV-1100 | Multiple Myeloma
CELL THERAPY
BHV-1300 |
IgG Degrader Immune-Mediated Diseases
DISCOVERY
IgA Degrader IgA Nephropathy
RESEARCH
Kv7.2/7.3 Activation
Clinically validated mechanism of action in epilepsy
Kv7 PLATFORM
BHV-7000: Potential Best-in-Class with Differentiation
Summary Preclinical data suggests wide therapeutic index in the clinic by dialing
out GABA risk (somnolence, sedation, dizziness)
BHV-7000 Series
COM Patent Protection covered until 2039
Status Update
BHV-7000 Phase 1 SAD/MAD study completed
BHV-7000 Phase 1 EEG study initiated 1H 2023
Serosa
• Kv7.3: CNS
BHV-7000/7010 activator
Muscle layer Cardiac Muscle
Mucosa
• Kv7.4: smooth muscle and
Submucosa
inner ear
Gastrointestinal
tract
Adventitia • Kv7.5: vascular tissue,
neurons, skeletal muscle
Media
Intima
Skeletal Muscle
Vascular tissue
Source: PHYSIOLOGY 26: 365–376, 2011; doi:10.1152/physiol.00009.2011 (Maria Virginia Soldovieri,1, Francesco Miceli,2,3 and Maurizio Taglialatela1,2)
Kv7 channel
activator
Abnormal EEG with Epileptic Activity Hyperexcitability — Epilepsy and Mood Disorders
Dalen Meurs-van der Schoor, Front Pediatr (2014). Adapted from Wulff, Nat Rev Drug Discov (2009) .
1st and 2nd Gen Kv7 Activators Show Clinical Anti-seizure POC,
But Off-target Activities, Opportunity for 3rd Gen Kv7 Differentiation
Therapeutic Index
60 60 ✱✱ ✱✱ 40
GABAA Activation a
**
(% Baseline)
10 µM 10
EZOµM EZO 30
40 40 10 µM 10 µM XEN1101
XEN1101
20
20 20
10
0 0
Ezogabine XEN1101 BHV-7000
Ezogabineb XEN1101b BHV-7000a
FDA Drug Safety Communication: Potiga (ezogabine) [04-26-2013] ** significantly different from BHV-7000, all tested at 10 µM
BHV-7000 is chemically stable BHV-7000 is selective for Kv7 BHV-7000 has a wide therapeutic
to photo-oxidation over GABAA receptors a index preclinically a
a. Biohaven data on file (2022). b. Calculated as ratio of TD50 (rotarod) to ED50 (MES seizure assay) data presented by Xenon at Epilepsy Foundation Pipeline Conference, San Francisco (Feb 2018).
Preclinical results are consolidated from separate reports and graphed together.
Data presented is not the result of any head-to-head clinical trials and does not mean or suggest that BHV-7000 is clinically more safe and effective.
Protection (%)
EZO in rat MES, PO BHV-7000 in rat MES, PO
Protection (%)
100 3 100 3
Neurological Deficit
Neurological Deficit
Neurological Score
Neurological Score
75 75
% Protection
% Protection
2 2
ED ED
ED5050=0.5mg/kg
= 0.5
ED5050= 20mg/kg
=20
TI<3x 50 mg/kgTI>40x
50 mg/kg
< 3x > 40x
Seizure
Seizure
1 1
Therapeutic 25 Therapeutic
25
Index a Index a
0 0 0
0
0 .0 1 0 .1 1 10 100
0 .0 1 0 .1 1 10 100
Efficacy
Seizure BHV-7000 n=10/group
Protection BHV-7000
Seizure Protection EZOGABINE
Efficacy EZO n=6/group NS BHV-7000 n=10/group
Neurological Deficit BHV-7000
Neurological Deficit EZOGABINE
NS EZO n=6/group
a. Preclinical experiments shown use the same efficacy and neurological scoring endpoints. Date are consolidated across different studies. Biohaven data on file (2022). Seizure protection is the endpoint for efficacy and
neurological deficit is a visually assessed for drug related side effects in rats. Data presented is not the result of any head-to-head clinical trials and does not mean or suggest that BHV-7000 is clinically more safe and effective.
Wide Therapeutic
<3x reporteda,b <5x reporteda >40xb
Index
a. Calculated as ratio of TD50 (rotarod) to ED50 (MES seizure assay) data presented by Xenon at Epilepsy Foundation Pipeline Conference, San Francisco (Feb 2018). b. Biohaven data on file (2022).
Preclinical results are consolidated from separate reports and not a result from head-to-head comparisons Data presented is not the result of any head-to-head clinical trials and does not mean or suggest that BHV-7000 is clinically
more safe and effective.
Dizziness 0% 17%
1 MedDRA® Preferred Term within the System Organ Class of “Nervous System Disorders”
2 Datafrom 2019 73rd Annual American Epilepsy Society Meeting poster, Abstract # 3.31, published 11.25.19
Data presented is not the result of any head-to-head clinical trials and does not mean or suggest that BHV-7000 is clinically more safe and effective.
In mania models, Kv7 activation reduces Robust MDD efficacy likely to translate
hypermetabolism and hyperactive behavior1 to bipolar disorder2
0.0
-15
-0.2
o
e
in
eb
ab
ac
Weeks
og
Pl
Ez
DECREASING BRAIN HYPERACTIVITY
~7pt decrease vs placebo with ezogabine in fMRI study: ezogabine effects
depression symptoms mediated by the limbic system
Retigabine normalizes a mania model hypermetabolic 3/3 positive studies of fluoxetine in bipolar depression
signature to a higher degree than lithium indicate effects in MDD translate to bipolar disorder3
1. Kristensen et al. J Neurochem (2012). 2. Costi et al. Am J Psychiatry (2021); 178(5):437-446. 3. Golberg et al. J Clin Psychiatry (2021) 82(1):20ed13649
200–300 ✓ Safe/Tolerable
Side effects negatively
Treatment 1.1M KCNQ2-DEE
incidence in live births
impacted other recent
refractory/
2.4M Focal epilepsy epilepsy launches
uncontrolled
patients
patients
✓ Biohaven Proven
Commercial
Mood Disorders Expertise in
Neuroscience
7–11M 34.5M
BIPOLAR DISORDER (US)4 MAJOR DEPRESSIVE DISORDER (US)5
1. https://www.cdc.gov/epilepsy/data/index.html (1.2% of the population has epilepsy, 60% is focal onset). 2. Kammerman S. West J Med. 2001 Aug;175(2):99-103. 3. Hauser WA.
Epilepsia. 1991 Jul-Aug;32(4):429-45. 4. https://www.nimh.nih.gov/health/statistics/bipolar-disorder (2.8% of US adults have had BPD within last year and 4.4% of population over their
lifetime). 5. Hasin DS. JAMA Psychiatry. 2018 Apr 1;75(4):336-346.
See Koivisto et al, Nature Reviews Drug Discovery 2022 for background on TRP channel drug development.
BHV-2100 25 mg/kg
BHV-2100 5 mg/kg
Tramadol 5 mg/kg
BHV-2100 5 mg/kg
Pregabalin 30 mg/kg
BHV-2100 25 mg/kg
Gabapentin 150 mg/kg
BHV-2100 1 mg/kg BHV-2100 1 mg/kg
Vehicle Vehicle
1. Formerly TLL-041
TYK2/JAK1 cytokines
TRORILUZOLE
OBSESSIVE COMPULSIVE DISORDER (OCD)
SCA and OCD • Compelling mechanistic rationale for cortico-striatal glutamate
abnormalities in OCD patients
• Strong PoC in Phase 2
• Well-characterized in 1,000+ patients
• Two Phase 3 studies ongoing; enrollment completion anticipated
YE 2023
Reduction in fall risk + treatment effect in SCA3 patients suggest troriluzole has clinically meaningful
benefit
1:1 1. BHV-4157-202 Final Unblinded Analysis YBOCS Total Change from Baseline by Week LSMeans from MMRM Model
MITT Data Set
Mechanistically, taldefgrobep-myostatin complex Safety studied with more than 300 subjects dosed in
acts as ActRIIB receptor antagonist prior clinical studies in pediatric and adult populations
* formerly BH 2640
BHV-1300
Internalized IgG is rapidly
02 Dial-able levels
degraded in lysosomes
of IgG preserved
BHV-1300 administered
by subcutaneous or IV
60000
BHV-1300
MFI
40000
20000
Untreated
0
1 10 100 1000 10000
nM
Uptake
Uptake ofinIgG
of IgGEC50 in HepG2
HepG2
99
80000 80000
60000 60000
MFI
40000 40000
MFI
BHV-1300
BHV-1300 125nM
20000 20000 BHV-1300
0 0
1 1 10 10100 100
1000 1000
nM nM
EC50 EC50
110 110
5×109
4×109
IgG pg/ml
3×109
IgG
2×109 BHV1300 SD, 12 mg/kg
+IgG
1×109
0
0 2 4 6 8 10
Hours
IgA IgM
IgG % change
IgG by group IgA % change by group IgM % change by group
IgM % change by group
200
200 200
300
0 mg/kg
150 150 150
10 mg/kg
IgM % T0t
IgA % T0t
% IgG T0
200 30 mg/kg
IgM % T0t
100 100 100
75 mg/kg
0 0 0
0
0 5 10 15 0 5 10 15 0 0100 5
200 30010 400 15
Days
Days Days Hours Days
• Preliminary BHVN data and literature consistent with an absence of effects on serum albumin, LDL, HDL or
triglycerides, and specificity for targeted IgG species
• Remarkable drug efficiency in mouse given exogenous IgG recapitulated in monkeys with endogenous IgG.
Molar ratio of approximately 1.0 allows 60% IgG lowering following a single dose
100000
F SQ ~ 99%
F IM ~ 93%
BHV-1300 IV 10 mg/kg Potentially allows at-
10000
home, self administration
BHV1300 IM 10 mg/kg
with subcutaneous
ng/ml
100
10
0 10 20 30
Hours
125
% IgG , baseline
100
vehicle
75
10 mg/kg
50 75 mg/kg
25 250 mg/kg
0
0 5 10 15
Days
3 days 5–7 days
75% depletion 50% depletion
Bispecific Platform:
IgA Degrader for IgA Nephropathy
Therapeutic Hypothesis: Galactosyl deficient-IgA (Gd-IgA) containing-immune Chimeric antibody-ASGPR
complexes drive glomerular injury in IgA nephropathy. Specific removal of this
1 ligand conjugate specifically
mediates endocytosis of Gd-IgA
pathogenic Gd-IgA with preservation of “normal” IgA (and other Ig’s) permits
in HepG2 cells
disease remission without incurring an infection risk.
600000
galactose deficient IgA
MFI
400000 normal serum IgA
200000
0
0.1 1 10 Gd-IgA
100 removal drives
1000 10000
anti-Gd-IgA
nM
efficacy without
Liver
antibody infection risk2
• Following pan-IgG degraders, versatile and novel BHVN bispecifics for precision
removal of degalactosylated IgA (pathogenic species of IgA in IgA nephropathy) and
removal of other pathogenic proteins including specific autoantibodies currently in
late discovery
Bispecific Platform:
CD38 Targeted Cell Therapy for Multiple Myeloma
Key Potential Advantage
CD38 Antibody Recruiting BHV-1100 CD38 Over Biologics
Targeting Therapy
Molecule (ARM™)
ü Lower manufacturing
• Modular bispecific molecules cost
with two moieties, each
ü More versatile — smaller
designed for non-covalent
and tunable
binding to a specific target
Multiple
Multipl
Mult
Myeloma ü Faster and less
• Redirect endogenous iple
e
Cell
NK Cell Mye
Myelo expensive to develop
antibodies to target lom
ma
cancerous or virally infected a
Cell
Cell ü Better safety and efficacy
cells for immune destruction • Non-immunogenic; better
dosing
BHV-1100 + CIML NK cell • Enhanced PK properties
• Reduced NK cell fratricide
compared to daratumumab
CD38 ARM™
Binds to CD38 receptor
on the surface of multiple
myeloma cells
40 *
20
4 hrs
*
1. Bone marrow 1. Bone marrow Generate CIML NK
2. BHV-1100 2. BHV-1100 cells overnight
3. CIML NK cells
0
Readout % CD38+ CD138+ plasma cells Patient 1 Patient 2 Patient 3 Patient 4 Patient 5
ONGOING MRD + post-transplant multiple myeloma • First patient survival to one year
CLINICAL STUDY patients ongoing at Dana Farber Institute • Two additional patients randomized
Journal of Clinical Oncology 2020 38:15_suppl, 8523-8523.
Fraction Labelled
0.8 0.4
0.6 0.3
68.2 million1
SHARE O/S
1. Excludes outstanding options. 2. As of March 31, 2023. 3. Cap reached if aggregate annual U.S. net sales of rimegepant and zavegepant amount to $8.15B. Royalty payments would be in respect of years ended on or before
12/31/40.
Focal Epilepsy Phase 1 Topline Initiate EEG Study Initiate Phase 2/3
BHV-7000
Kv7 Channel Activator
Bipolar Disorder Initiate Phase 2/3
BHV-8000 Neuroinflammatory
Initiate Phase 1 Initiate Phase 2 - PD
TYK2/JAK1 Disorders
Spinocerebellar Ataxia
NDA Submission MAA Submission
Type 3
Troriluzole
NCE Prodrug of Riluzole Obsessive-Compulsive
Complete Enrollment
Disorder
BHV-1300 Immune-Mediated
File IND
IgG Degrader Diseases
* Planning in progress
PD, Parkinson’s disease