Corporate Highlights 2015
Transcription
Corporate Highlights 2015
EXPLORING NEW PATHWAYS Disease-modifying treatments for diabetic retinopathy EXPLORING NEW PATHWAYS Disease-modifying treatments for diabetic retinopathy Summary EXPLORING NEW PATHWAYS SUMMARY 9 15 21 39 43 Chapter One - About ThromboGenics Chapter Two - JETREA® Chapter Three - Research and development Chapter Four - Our organization Chapter Five - Shareholders information THROMBOGENICS CORPORATE HIGHLIGHTS 2015 5 Dr. Patrik De Haes Chief Executive Officer & Dr. Staf Van Reet Chairman of the Board of Directors Innovative diabetes pipeline heralds a promising future. The Board of Directors and Management Team solidly back the ThromboGenics strategy. 25 Jean Feyen Head of Preclinical Research & Dr. Patrik De Haes Chief Executive Officer & Dr. Andy De Deene Global Head of Development “Our mission is simple: we want to prevent diabetes patients from going blind.” The ThromboGenics R&D team will advance further this year in clinical trials on diabetic retinopathy. 4 “Our mission is to prevent diabetes patients from going blind.” — Dr. Patrik De Haes, CEO THROMBOGENICS CORPORATE HIGHLIGHTS 2015 INTERVIEW Dr. Patrik De Haes, CEO & Dr. Staf Van Reet, Chairman of the Board of Directors Innovative diabetes pipeline heralds a promising future The Board of Directors and Management Team solidly back the ThromboGenics strategy ThromboGenics began 2015 with a renewed strategy: prioritizing development of innovative medicines for back of the eye disease, with a clear focus on diabetic eye disease. This has been reinforced in the past year, say CEO Dr. Patrik De Haes and Board Chairman Dr. Staf Van Reet. Through substantial investments in research into innovative medicines, ThromboGenics has continued to pursue the course it started in 2014. The company adjusted its financial strategy and shifted certain accents to be able to focus all its resources into unique treatments for diabetic retinopathy. “This is a degenerative eye disease affecting rising numbers of patients with diabetes. Going blind is a diabetes patient’s greatest fear. Our mission and strategy as a company is to prevent that from happening by offering the widest possible range of innovative solutions in which the patient’s interests always come first,” explains CEO Patrik De Haes. ThromboGenics aims to develop specific treatments that can stop the further progression of the disease. Blindness is caused when blood vessels in the retina grow into the vitreous gel of the patient’s eye (proliferative diabetic retinopathy, PDR). There are strong indications that ocriplasmin (THR-409) can prevent this by separating the retina from the gel (generating posterior vitreous detachment, PVD). “ThromboGenics is currently the only player actively researching possible ways to intervene at that stage of this progressive disease.” 5 6 INTERVIEW Clinical research has begun Broad pipeline Meanwhile, a clinical trial with ocriplasmin has been launched: early this year the phase II CIRCLE study was initiated. “We’re investigating the number of injections and the dosage necessary for the treatment to be considered effective,” continues Patrik De Haes. “For the first time, our product will be administered in multiple injections, so we developed a preclinical package to demonstrate to the authorities that ocriplasmin is safe for repeated injections. Both the American and European authorities have given us the green light for this study.” By taking these multiple shots on goal within a single specific disease – diabetic retinopathy – ThromboGenics is creating a widening portfolio of potential treatments for diabetes patients. “This pipeline gives the company continuity and should make ThromboGenics a prominent player in the market,” emphasizes Staf Van Reet. Besides the research on ocriplasmin for treatment of PDR, other projects are in the works like treatment of diabetic macular edema. “We are investigating a number of our molecules that have the potential to remove the edema that can occur due to inflammation caused by diabetes,” notes Patrik De Haes. “We are doing this using technologies from the Flanders Institute for Biotechnology and Bicycle Therapeutics, but we have full control over the development. We are also evaluating other molecules, some of which may have potential for wider application in the various conditions related to diabetic eye disease.” The new focus resulted from several crucial strategic decisions in consistent cooperation between the management and the Board of Directors. “The management never acts without consulting the Board and the Board members unanimously support the strategy set by the management team.” Concretely, to begin with the marketing costs for the commercialization of JETREA ® will be substantially scaled down. “Our organization in the US is focusing entirely on supporting JETREA ® for its initial indication, vitreomacular traction. We will reinvest the US revenue in the department to enable cost-neutral operations,” points out CEO Patrik De Haes. “At the same time, Alcon will continue to market our product in Europe and the rest of the world, for which ThromboGenics will receive royalties. A part of those royalties will be used for developing ocriplasmin for a second indication, diabetic retinopathy.” “Our extensive pipeline of innovative eye medicines gives the company continuity and should make ThromboGenics a prominent player in the market for diabetic eye disease.” — Dr. Staf Van Reet, Chairman of the Board of Directors THROMBOGENICS CORPORATE HIGHLIGHTS 2015 Another major step was setting up the subsidiary Oncurious to house ThromboGenics’ research on pediatric brain cancer. “This way, the medulloblastoma research can be pursued in a targeted way in a separate company, in collaboration with external partners. Our oncology company Oncurious will be able to work more independently in the future so ThromboGenics can concentrate on its core business,” adds Patrik De Haes. Chairman Staf Van Reet confirms: “Making the US organization cost-neutral, receiving a share of the royalties via Alcon, and launching our subsidiary Oncurious will let us focus financially on the biotech field and treatment of diabetic retinopathy.” Investors The renewed ThromboGenics strategy has been well received by stakeholders and investors. Baron Philippe Vlerick significantly increased his stake in the company and joined the Board of Directors of ThromboGenics in 2015 as non-executive director. “His decision was the direct result of our strategic focus on diabetic eye disease,” recounts Patrik De Haes. “The fact that someone with such broad experience has joined the Board of Directors at a time when the company is undergoing an important strategic reorientation gives us a tremendous sense of confidence,” notes Staf Van Reet. “Philippe Vlerick is the type of investor who thinks long-term. He immediately focuses on the essentials and is able to advise us from that perspective.” In fact, at ThromboGenics there is a tradition of holding regular meetings between management and board members. “We consult one another several times a year, and outside the official management meetings. For example, I’m in regular contact with David Guyer and Philippe Vlerick. In terms of business strategy they have a lot of insights I am happy to take on board. In this way, we can ensure a continued relationship of trust between the Board of Directors and the management,” confirms Patrik De Haes. JETREA® proves its value In the meantime, new studies have confirmed the value of JETREA ® for its first indication, the treatment of vitreomacular traction. The OASIS study, the longest-running study of patients after treatment with JETREA ®, was completed in 2015 and the results were highly satisfactory. “We monitored patients for two years after injection with JETREA ®. The results undeniably demonstrate that 1 in 2 patients with vitreomacular traction are cured after a single injection with the product. This “real world data” on patients who have been cured is very important for us. It demonstrates the value of our product, with which ThromboGenics is still the only player on the market to offer an alternative to surgical vitrectomy. With JETREA ® we are the global pioneer in the new category of pharmacologic vitreolysis. This is not only something we as a team are extremely proud of, it also forms the basis for further research by us and other parties in the same area. We certainly plan to continue playing this pioneering role in the future,” concludes Patrik De Haes. 7 8 Summary I THROMBOGENICS CORPORATE HIGHLIGHTS 2015 CHAPTER ONE ABOUT THROMBOGENICS Innovative ophthalmic medicines ThromboGenics is a global biotechnology company focused on delivering innovative treatments for diseases of the back of the eye, targeting diabetic eye disease. Its first product, JETREA® (ocriplasmin), has been approved in 54 countries worldwide. ThromboGenics is strongly committed to R&D on treatments for diabetes-related eye diseases like proliferative diabetic retinopathy (PDR) and diabetic macular edema (DME). It recently launched a Phase II clinical trial with THR-409 (ocriplasmin) in diabetic retinopathy, and is preparing a scientific publication on ocriplasmin’s potential for treating retinal vein occlusion (RVO). ThromboGenics is headquartered in Leuven, Belgium, with offices in Iselin, NJ (US) and Dublin, Ireland. The company is listed on the NYSE Euronext Brussels exchange under the symbol THR. More information is available at www.thrombogenics.com. 54 countries globally gave market approval for JETREA® 9 10 THROMBOGENICS TIMELINE 2015-2016 JAN 2015 ThromboGenics Appoints Dominique Vanfleteren as new Chief Financial Officer. JAN 2015 ThromboGenics Appoints Emmanuèle Attout as Independent NonExecutive Director. JETREA® approval in over 50 countries, in more than 20 of which patients are being treated. MAR 2015 MAR 2015 Positive topline results from OASIS Study with JETREA®. Oasis Study meets primary endpoint with 41.7% of patients treated with JETREA® achieving VMA resolution at day 28 post injection (p<0.001). 24 month safety data in line with JETREA® approved label. APR 2015 ThromboGenics starts evaluating JETREA® for treatment of retinal vein occlusion (RVO). The company is awarded a EUR 0.6 million IWT Research Grant. APR 2015 ThromboGenics and VIB launch the new oncology company Oncurious NV to develop TB-403 for pediatric brain tumors (medulloblastoma). APR 2015 EU approval of new ready diluted formulation of JETREA®. 11 JAN 2016 ThromboGenics initiates Phase II CIRCLE Trial evaluating the potential of THR-409 (ocriplasmin) to induce total Posterior Vitreous Detachment (PVD) and reduce the risk of disease progression from NPDR to sight-threatening Proliferative Diabetic Retinopathy (PDR). JAN 2016 Oncurious NV announces FDA acceptance of its Investigational New Drug (IND) Application for a Phase I/IIa study with TB-403 for treatment of pediatric brain tumors. The study is planned to start in Q1 2016. JUN 2015 Oncurious NV appoints Prof. Dr. Peter Carmeliet as its Chief Scientific Strategy Advisor. Philippe Baron Vlerick invests in ThromboGenics and confirms a 3.6% shareholding. MAY 2015 NOV 2015 The FDA accepts the Investigational New Drug (IND) Application for a Phase II study with JETREA® to treat non-proliferative diabetic retinopathy. This CIRCLE study is a randomized, doublemasked, sham-controlled, multi-center study to evaluate the efficacy and safety of multiple doses of ocriplasmin in inducing total posterior vitreous detachment (PVD) in subjects with non-proliferative diabetic retinopathy (NPDR). NOV 2015 ThromboGenics presents full OASIS JETREA® trial data analysis (incl. ERG) and further real world Clinical Data at AAO 2015 in Las Vegas. The importance of proper patient selection is shown. No new safety signals are identified and the majority of adverse events are resolved. 12 About ThromboGenics Corporate objectives and strategy Our Mission The ThromboGenics mission is to pioneer and deliver next-generation treatments offering the potential to prevent vision loss. We have pioneered the drug category of pharmacological vitreolysis with JETREA®, the world’s only approved pharmacological vitreolysis treatment currently available. We will develop other solutions and expand this category. With diabetes, a leading health challenge worldwide, we are committed to deliver new and innovative treatments to help tackle the growing challenge of diabetesrelated eye diseases. We want to provide solutions enabling vision preservation for all people equally. All our work is centered on the patient: when a treatment is good for a patient, eventually it will benefit all the company’s stakeholders, internally and externally. Broadening a global franchise in back of the eye disorders with a focus on diabetic eye diseases ThromboGenics will expand its work in earlier-stage projects, searching for new pathways and compounds for developing next-generation treatments for back of the eye disorders with a focus on diabetic eye diseases. The company constantly seeks to broaden its franchise in ophthalmology and beyond, through both in-house research and strategic acquisitions, joint development, and licensing deals. Cash generation from commercializing JETREA® (in first approved indication, sVMA/VMT) in the US and RoW via partner Alcon (Novartis) ThromboGenics’ US organization aims to be cash-neutral from 2016 onwards and continuous the commercialization of JETREA® in its first approved indication, sVMA. In Europe and the rest of the world (RoW), ThromboGenics’ partner Alcon continues to gain new marketing and reimbursement approvals and execute commercial launches of JETREA® for treatment of VMT. It invests revenues from royalties from Alcon and commercial activities in the US in its development activities to find nextgeneration treatments for diabetic eye diseases. THROMBOGENICS CORPORATE HIGHLIGHTS 2015 “We want to provide solutions enabling vision preservation for all people equally. All our work is centered on the patient.” Extending clinical utility of ocriplasmin for other new indications: diabetic retinopathy ThromboGenics is planning clinical trials for a number of new indications. Proliferative diabetic retinopathy (PDR) is the next target indication for ocriplasmin. The Phase II CIRCLE study has been initiated to assess the drug’s utility for treatment of PDR. The scientific evaluation of ocriplasmin for treating retinal vein occlusion is ongoing; results should be published in 2016. Realizing value from Oncurious NV, a new oncology company with ThromboGenics as a major shareholder In April 2015, the company’s oncology R&D work was incorporated in a separate entity: Oncurious NV, a joint venture with the Flanders Institute for Biotechnology (VIB). Oncurious is leveraging the joint expertise to develop innovative medicines for treating pediatric brain tumors. 13 14 About ThromboGenics II THROMBOGENICS CORPORATE HIGHLIGHTS 2015 15 CHAPTER TWO JETREA ® Crafting its place in a changed standard of care for sVMA/VMT JETREA® as treatment of symptomatic VMA/VMT Symptomatic VMA/VMT With the introduction of JETREA®, for the first time retina physicians have a treatment option for symptomatic VMA (US) or VMT (outside US). If left untreated, this progressive eye disease generally leads to significant visual distortion, deterioration in visual acuity, or even central blindness. Symptomatic VMA/VMT is caused by traction from persistent attachment of the vitreous (jelly-like material in the center of the eye) to the macula at the back of the eye. The macula provides central vision needed for everyday tasks like driving, reading and recognizing faces. Symptomatic VMA/VMT can cause symptoms like distorted or decreased vision. When it progresses, the traction may lead to formation of a hole in the macula (called a macular hole). A unique mechanism of action Previously, the only treatment option for patients with symptomatic VMA/VMT was observation, followed by surgical separation of the vitreous from the retina called a vitrectomy. This procedure is risky. It can lead to complications like bleeding, pain, post-operative inflammation or irritation, so it is usually done only when the patient’s vision has deteriorated significantly. The alternative is ‘observation’ or ‘watchful waiting’ until a patient is a candidate for surgical repair of the retina, but for many this is not a suitable option as irreversible damage to the retina may have already occurred. JETREA® is the first pharmacological option for treating symptomatic VMA/VMT. It is administered as an intravitreal injection, a unique procedure now routine for retina physicians and easy to perform. JETREA® breaks down the protein fibers creating the abnormal traction between vitreous and macula that causes VMA/VMT. By dissolving these proteins, JETREA® releases the traction and helps complete the © University of Illinois Board of Trustees 16 JETREA® Patient journey Patient experiences vision changes: metamorphopsia (blurreld vision) and/or macular hole (central blindness) The patient consults an ophthalmologist, who determines the patient is suffering from an early stage of VMA/VMT The patient is diagnosed via optical coherence tomography (OCT), a non-invasive imaging detachment of the vitreous from the macula. JETREA® can also be used when VMA/VMT has progressed and caused a small hole in the macula (the central part of the light-sensitive layer at the back of the eye). If the treatment is successful, the symptomatic VMA/VMT will not recur. JETREA® allows physicians to treat patients with these symptoms at an early stage. Successful treatment can improve patients’ vision and ability to carry out normal daily activities. It can also stop f urther progression of this disease. technique providing instant real-time highresolution images of eye tissue. The ophthalmologist refers the patient to a retina specialist, who discusses the treatment options with the patient. Treatment options: Observation: ‘Watchful waiting’ until the patient’s condition deteriorates to the point of becoming a candidate for surgical treatment and repair of the retina. For many patients this is not a suitable option, as irreversible damage to the retina may have already occurred. Injection with JETREA® : JETREA® is the first pharmacological option for treating symptomatic VMA/VMT. It is administered as an intravitreal 2015: New longterm clinical data: patient selection and experience OASIS study demonstrates effectiveness and safety of JETREA® In 2015, ThromboGenics reported results from OASIS, a Phase IIIb study. OASIS is a randomized, sham-controlled, doublemasked study that followed up 220 patients for 24 months post injection with JETREA®. It was the longest period patients have been studied post treatment with this novel medicine. The study was designed to yield long-term controlled efficacy and safety data for JETREA® in patients being treated for symptomatic vitreomacular adhesion (sVMA). OASIS is the first controlled study with JETREA® of its kind since the pivotal Phase III program’s results were announced in 2011. injection and allows physicians to treat symptoms at an early stage. Successful treatment can improve patients’ vision and ability to carry out normal daily activities. It can also stop further progression of this disease. Vitrectomy: Before JETREA®, the only treatment option for patients with symptomatic VMA/VMT was surgical separation of the vitreous from the retina, called a vitrectomy. It is risky and can lead to complications like bleeding, pain, post-operative inflammation or irritation. Because of this, it is usually only done when the patient’s vision has deteriorated significantly. The alternative is ‘observation’ or ‘watchful waiting’. The key findings of the study were: »» 41.7% of patients treated with JETREA® achieved VMA resolution at day 28 post injection compared with only 6.2% of patients given a sham injection (p<0.001); »» the JETREA® safety profile in this 24-month follow-up study was consistent with the drug’s overall safety profile as known from the approved label. No new safety events were identified. THROMBOGENICS CORPORATE HIGHLIGHTS 2015 “JETREA® is an important part of my toolbox when treating patients with symptomatic VMA. By using careful patient selection, a very high rate of VMA resolution can be achieved.” Dr. Arshad Khanani, Managing Partner of Sierra Eye Associates in Reno, Nevada 17 18 JETREA® Mechanism of action Normal Separation (PVD) Vitreous remodelling leads to progressive liquefaction with age. The OASIS data show the importance of improved patient selection in generating higher rates of VMA resolution with JETREA®. Recent real-world data have confirmed that access to more advanced diagnostic technology such as SD-OCT has enabled retina physicians to improve patient selection. They have thus been able to select patients with focal VMA and an absence of epiretinal membrane (ERM), two criteria shown to lead to better treatment outcomes with JETREA®. Six-month interim data from ORBIT study presented Symptomatic VMA Incomplete separation can cause Vitreomacular Adhesion (symptomatic VMA), that results in traction, leading to visual disturbance. In May 2015, six-month interim data from the “Ocriplasmin Research to Better Inform Treatment” (ORBIT) study were presented. This prospective, observational study is designed to assess clinical outcomes and the safety of JETREA® administered in a real-world setting for treating symptomatic VMA/ VMT by assessing both anatomical and functional outcomes. The study looked at a number of parameters including resolution of sVMA, full thickness macular hole (FTMH) closure, changes in visual acuity (VA), and occurrence and time to vitrectomy. It also monitored adverse drug reactions (ADRs) and changes from baseline in ocular signs and symptoms over time, such as metamorphopsia. These data will further characterize the product’s efficacy and safety profile. Symptomatic VMA resolved Ocriplasmin injected intravitreally acts by weakening and breaking the protein fibers that are causing the adhesion and separates the vitreous body from the retina, which relieves the traction and resolves the symptoms. Patients will be monitored for up to 12 months following a single treatment with JETREA®. The ORBIT study is due to finish in mid-2016. Six-month data showed that 58.1% of patients experienced sVMA/VMT resolution within one month post treatment. The study also found the safety of JETREA® to be consistent with the product’s label and the data from the Phase III clinical trials. THROMBOGENICS CORPORATE HIGHLIGHTS 2015 US commercial organization: custom-fit to demand ThromboGenics has adjusted its US organization’s commercial strategy and composition to current market demand for JETREA® and to ensure it is cash-neutral in 2016. ThromboGenics Inc. is now a lean customer-centric organization that still supplies JETREA® via a well-established distribution network. Its US team provides medical and scientific data-driven support to the retina community and assists physicians’ efforts to enhance patient awareness of the options available for treating symptomatic VMA. JETREA® in Europe and the rest of the world ThromboGenics’ partner Alcon continues to gain new marketing and reimbursement approvals and launch JETREA® commercially in Europe and the rest of the world (RoW). JETREA® is now approved in 54 countries, in over 20 of which patients are being treated and reimbursed. 19 20 JETREA® III THROMBOGENICS CORPORATE HIGHLIGHTS 2015 CHAPTER THREE RESEARCH AND DEVELOPMENT Targeting diabetic retinopathy As a worldwide leader in ophthalmology, ThromboGenics continuously researches drugs that address unmet medical needs. The company’s main focus is on providing diseasemodifying treatments for disease-related conditions that affect the back of the eye. With diabetes today a growing problem worldwide and current treatment options insufficient, ThromboGenics saw such an unmet need. It targets prevention and treatment of diabetic eye diseases like diabetic retinopathy (DR) with or without diabetic macular edema (DME), which have a very direct impact on the patient’s quality of life. Diabetes, a worldwide pandemic Diabetes is a worldwide pandemic, related to a wealthy lifestyle but also to difficult economic circumstances in developing countries. The 2015 edition of the International Diabetes Federation Atlas states: “Some 415 million people worldwide, or 8.8% of adults aged 20-79, are estimated to have diabetes. About 75% live in low- and middle income countries. If these trends continue, by 2040 some 642 million people, or one adult in ten, will have diabetes. The largest increases will take place in the regions where economies are moving from low-income to middle-income levels.” 21 22 Research and development Prevalence of diabetes patients Worldwide 2015 Worldwide 2040 Diabetic retinopathy: a vision threatening disease About diabetic retinopathy 415 MIO 642 MIO DM 222 MIO 347 MIO DIagnosed DM 79 MIO 123 MIO Any DR 62 MIO 98 MIO NPDR 16 MIO 25 MIO 17 MIO DR is a progressive disease, caused by prolonged high blood glucose levels. Over time this causes small blood vessel damage to the retina (the light-sensitive layer at the back of the eye), leading to progressive loss of vision. Of all patients with DR, 1 in 5 develops PDR, which eventually leads to blindness. Moreover, 28% of all DR patients develop non-proliferative diabetic retinopathy (NPDR), which also progresses from a moderate to a severe stage and causes several eye problems before leading to PDR. In addition to NPDR and PDR symptoms, all DR patients have an increased risk of developing diabetic macular edema (DME); 1 in 5 actually develops it. DME occurs when fluid leaks into the macula (the central part of the light-sensitive layer at the back of the eye). These leaks cause the macula to thicken and swell, progressively distorting acute vision. In some cases this can lead to a severe loss in central vision. A recent report of the American Academy of Ophthalmology projected that 6 million people will have some form of DR in the United States in 2020, of whom 1.34 million will have vision-threatening DR. PDR 26 MIO DME DM DR NPDR PDR DME Diabetic retinopathy (DR) is a condition occurring in persons with diabetes, which causes damage to the retina of the eye. It is the most common microvascular complication of diabetes and, in its most advanced stage – proliferative diabetic retinopathy (PDR) – also one of the leading causes of blindness worldwide. In the growing population of patients diagnosed with diabetes about 35% or 1 out of 3 will develop DR. diabetes mellitus diabetic retinopathy non-proliferative diabetic retinopathy proliferative diabetic retinopathy diabetic macular edema THROMBOGENICS CORPORATE HIGHLIGHTS 2015 Current treatments Patients with early-stage DR do not usually undergo a treatment, but an ‘observation’ or ‘watchful waiting’ period during which the symptoms go untreated until they grow severe enough to warrant treatment. Patients must therefore normally wait until they develop signs of damage to the macula before undergoing treatment. DR treatment options include laser therapy and anti-vascular endothelial growth factor (VEGF) injections. But these often require repeated injections and must be repeated several times a year. Some patients must continue the anti-VEGF injections for the rest of their lives. Unfortunately, there are indications this prolonged use might cause other complications like development of scar tissue (fibrosis) in the back of the eye, caused by prolonged inflammation. Undesirable side effects include partial loss of peripheral and night vision. 2040 2040 2015 2015 215.2million 328.4 35% diabetes patients worldwide will develop DR 28% of all DR patients develop non-proliferative diabetic retinopathy (NPDR) 199.5million million number of men with diabetes Source: International Diabetes Federation - Diabetes Atlas 2015 313.3 number of women with diabetes million 23 24 THROMBOGENICS CORPORATE HIGHLIGHTS 2015 INTERVIEW Jean Feyen, Head of Preclinical Research Dr. Patrik De Haes, CEO Dr. Andy De Deene, Global Head of Development “Our mission is simple: we want to prevent diabetes patients from going blind” The ThromboGenics R&D team will advance further this year in clinical trials on diabetic retinopathy ThromboGenics is set to unveil its first results from reorienting and focusing on diabetic eye disease. Internal research and validation have yielded a pipeline of four molecules with a bright future for treating diabetic retinopathy. “Our goal is to offer treatments that improve the quality of life for patients by tackling the root cause of the disorder.” 25 26 INTERVIEW Diabetic retinopathy (DR) is a degenerative eye disease affecting one in three diabetes patients. “This represents an extremely large group worldwide, and it is growing each year with diabetes now considered a pandemic ravaging both rich and poor countries alike,” explains CEO Patrik De Haes. Diabetic retinopathy is a progressive disease, typically occurring when excess blood sugar causes damage to the tiny blood vessels supplying the retina with nutrients and oxygen. Its milder form, non-proliferative retinopathy (NPDR), is generally accompanied by minor inflammation and bleeding. In the more advanced and more serious variant, proliferative diabetic retinopathy (PDR), patients left untreated risk permanent blindness. One in five patients with DR will eventually develop this more serious form, so early screening and treatment are critical. in the retina, which also tend to increase in severity and can even cause blindness if the disease is not treated or brought to a halt,” says Patrik De Haes. This degenerative process is what ThromboGenics is targeting with a range of innovative treatments. “We actually want to alter the pathology and if possible bring the disease to a halt, which is why we speak of disease-modifying treatments.” Development models The company created a number of development models offering a fast, efficient and consistent way to evaluate molecules for their efficacy at different stages and for different symptoms of DR. “In the past year this has led to a pipeline with four projects for which we want to move from preclinical trials to clinical development,” says Jean Feyen, Head of Preclinical Research at ThromboGenics. “In addition, we are constantly researching projects that we assess for their value in treating diabetic “ThromboGenics is a pioneer in pharmacologic vitreolysis. We have already brought a validated product for this purpose to market, so it is extremely useful to be able to apply that experience to ocriplasmin in the treatment of DR patients.” — Patrik De Haes, CEO In both the milder and more serious variants, DR patients can also have an accumulation of fluid in the macula or yellow spot. This fluid buildup results from local inflammation that can sometimes further complicate or accelerate the condition. “In other words, diabetic retinopathy is a very serious disease that causes a whole range of problems retinopathy, from which we may later create an official program to add to our pipeline.” The effects of the portfolio’s four molecules are identified using a patient group quadrant: NPDR with DME; NPDR without DME; PDR with DME; PDR without DME. “Depending on their functional mechanism, these molecules can be used to THROMBOGENICS CORPORATE HIGHLIGHTS 2015 treat one or more symptoms of diabetic retinopathy or may even work across the entire spectrum,” explains Feyen. “Different aspects can be defined in the pathology. Diabetes causes certain proteins to be altered, negatively affecting the blood vessels in the eye. These start to leak (hyperpermeability), causing the patient to develop irritation (inflammation). This can lead to a buildup of fluid (diabetic macular edema) and/or an excessive proliferation of blood vessels (neo-angiogenesis). In the final stage, permanent vision damage is caused by scar tissue in the eye (fibrosis). What’s more, the disease is a vicious circle in which the symptoms grow worse. Once an inflammatory reaction occurs, more blood vessels start to leak, causing new inflammation with the resulting consequences for the patient.” phase, total PVD can possibly protect DR patients against further progression to the more serious stages and potential blindness. The CIRCLE study will also examine this aspect as the patients are monitored. Andy De Deene, Global Head of Development at ThromboGenics, explains. “In a PVD, the gel-like liquid (vitreous) is separated from the rear surface of the eye (retina). Data show that this can prevent uncontrolled proliferation of blood vessels in the vitreous or on the surface of the retina in PDR. This has also been supported by further research in people who undergo a spontaneous PVD, showing they do not progress to a more severe DR stage.” ThromboGenics has already brought ocriplasmin to market for treatment of sVMA/VMT (JETREA®), which also involves inducing PVD through pharmacologic vitreolysis to reduce adherence of the “Through our research, we want to demonstrate that ocriplasmin generates a PVD in patients with diabetic retinopathy and is thus able to prevent them from developing PDR and risking blindness.” — Andy De Deene, Global Head of Development Clinical trial with ocriplasmin For one of the four molecules, THR-409 or ocriplasmin, the clinical phase II CIRCLE trial has already begun. This study will investigate the safety and efficacy of (up to) three injections with ocriplasmin to achieve a total detachment of the vitreous from the retina in the eye (total posterior vitreous detachment, PVD). If administered in the early vitreous on the retina. “Through our research, we want to demonstrate that ocriplasmin generates a PVD in patients with diabetic retinopathy and is thus able to prevent them from developing PDR and risking blindness. There is currently no product on the market able to definitively stop this disease’s progression all at once and offer lifelong protection,” points out Andy De Deene. 27 28 INTERVIEW “THR-687 could potentially be the follow-up to ocriplasmin and confirm our role in this field. Since we’ve already brought a product with this effect to market, we’re confident we’ll be able to claim a strong position.” — Dr. Patrik De Haes, CEO Double positioning of THR-317 (anti-PlGF) For the molecule THR-317 (anti-PlGF), ThromboGenics is confident it can start clinical trials in 2016. “There are two ways we can position this project,” says Andy De Deene. “Preclinical research determined that the product is highly effective against hyperpermeability. Bringing it to market for this purpose would put us in a highly competitive position. But THR-317 is also effective against other aspects of diabetic retinopathy like inflammation and scar tissue formation. Other treatments, such as anti-VGEF therapy, do not treat those two problems, causing the patient’s vision to decline in the long term.” That is why ThromboGenics is convinced the product can be effective as a stand-alone treatment or in combination with, say, anti-VGEFs. “We’re investigating the possibility of administering the product together with anti-VGEF therapy, to reinforce the treatment by preventing inflammation and scar tissue formation. This is yet another example of our disease-modifying working method. Plus, it will mean patients need fewer treatments, thus easing their burden.” Treatment for edema with THR-149 (plasma kallikrein inhibitor) A third component ThromboGenics is investigating has shown excellent results in treating the edema formed by DR. “Our aim is to reach patients for whom other treatments no longer work,” notes Jean Feyen. “The greater the edema, the more leaky blood vessels and inflammation will occur in the eye. By removing or reducing the edema in patients with NPDR or PDR, we can also prevent the inflammation and hyperpermeability.” The company wants to develop this product in sustained release form. “This would allow us to ensure the product remains in the eye an extended time so it can be effective longer, so the patient requires fewer treatments.” ThromboGenics is also exploring how this sustained release form could be used for the future therapies the company develops. “We want to make treatment of DR patients less of an ordeal and thus improve their quality of life,” adds Patrik De Haes. THROMBOGENICS CORPORATE HIGHLIGHTS 2015 “We have our own diabetic eye disease screening models, but needless to say we see great value in collaborations with universities, research institutes and other parties for certain aspects.” — Jean Feyen, Head of Preclinical Research Product with potential: THR-687 (integrin antagonist) THR-687 is one of the most promising items in the ThromboGenics pipeline for DR. “This molecule is active in the entire spectrum of the disorder,” explains Andy De Deene. “For example, it too generates a PVD, like ocriplasmin, so the disease can be stopped at an early stage. It also prevents formation of edema, and there are indications that in PDR it can stop the progression by preventing formation of scar tissue and combating proliferation of blood vessels.” “For this product as well we have pharmacologic vitreolysis in mind, an area where we’re the global pioneer. It could potentially be the follow-up to ocriplasmin and confirm our role in this field. Since we’ve already brought a product with this effect to market, we’re confident we’ll be able to claim a strong position,” notes Patrik De Haes. Setting the standard in ophthalmology The various research and development models allow the R&D Department to very consistently and efficiently screen molecules in-house, and attract other parties for collaboration with ThromboGenics. “We do no target discovery ourselves,” explains Jean Feyen. “That means we focus on evaluating the potential of existing molecules within new and innovative therapies for eye disease. We have our own diabetic eye disease screening models, but needless to say we see great value in working with universities, research institutes and other parties for certain aspects.” CEO Patrik De Haes confirms: “ThromboGenics also intends to share the results of its preclinical trials with the ophthalmology community. In the past year we have already published extensive results of that preclinical research. Of course, we’ll continue to do this in 2016 and beyond. This will enable us to receive peer-reviewed feedback from the community and support the further development of our pipeline,” CEO De Haes concludes. 29 30 Research and development Disease hallmarks A path to disease-modifying treatments in diabetic retinopathy ThromboGenics focuses on patients with NPDR or PDR, with or without DME. Its main goal is to find novel, disease-modifying treatments that can lower the treatment burden and stop the disease from progressing. Inflammation Permeability Neuro and vascular dysfunction Edema Leakage, occlusion & non-perfusion Angiogenesis Fibrosis Neurodegeneration A quadrant for innovative compounds As an expert in R&D in treatments for back of the eye diseases, ThromboGenics developed research toolboxes for in-house screening of novel compounds. Using these, its team can now continuously evaluate novel molecules for treating DR in its different stages. This yields a pipeline of 4 innovative compounds for treating DR being researched and developed in a preclinical or clinical stage. At the same time, the company is constantly evaluating 3 or 4 other discovery projects that generate an inflow of novel molecules into the pipeline. A quadrant of groups of DR patients is used to determine which types could benefit from the novel compounds in the pipeline. Moreover, each compound has been evaluated for its mechanism of action in the signs and symptoms related to DR in its different stages. Patients with diabetes have raised glucose levels in their blood, causing changes in certain proteins and resulting in damaged retinal microvasculature. In an early stage, the patient suffers from leaking blood vessels (permeability), causing inflammation in the back of the eye. The formation of inflammatory and angiogenic factors further increases the damage and potentiate vascular leakage. This results in hyperpermeability and edema and formation of new blood vessels (neo-angiogenesis). The occurrence of blood vessels along the surface of the retina or in the vitreous eventually leads to permanent damage through the development of scar tissue (fibrosis). Once a patient suffers from inflammation the hyperpermeability deteriorates, causing new inflammation, more edema and more proliferation and scar tissue. The loop amplifies itself and the disease progresses. THROMBOGENICS CORPORATE HIGHLIGHTS 2015 THR-409 (ocriplasmin): start of clinical trial (CIRCLE study) Research has shown that the presence of a posterior vitreous detachment (PVD), where the vitreous is separated from the retina, may prevent growth of new blood vessels responsible for proliferative diabetic retinopathy (PDR). This finding is reinforced by the fact that PDR is rare in patients with a posterior vitreous detachment. ThromboGenics and its clinical advisors believe that using ocriplasmin to induce a PVD in patients with NPDR can prevent development of the new blood vessels that cause PDR, since they can no longer use the vitreous as scaffolding to grow along the retina’s surface or into the vitreous. After completing preclinical research in 2015, the company started the CIRCLE study in early 2016. CIRCLE is a Phase II, randomized, double-masked, sham-controlled, multi-center study to evaluate the efficacy and safety of up to 3 intravitreal injections of either 0.125mg or 0.0625mg of ocriplasmin in subjects with moderately to very severe non-proliferative diabetic retinopathy (NPDR). The goal is to induce total PVD to reduce the risk of the patient developing sight-threatening PDR. Quadrant diabetic retinopathy A quadrant of diabetes patient groups in DR is used to determine which types of patients could benefit from the novel compounds in the pipeline. 23.6% 4.2% NPDR without DME PDR without DME 4.5% 3.0% NPDR with DME PDR with DME In January 2016, the first patient was enrolled in the Phase II CIRCLE study. More than 200 subjects will be recruited into the CIRCLE trial, about 92 in each ocriplasmin arm (0.125mg or 0.0625mg) and 46 in the sham arm, over the next 12 months. They will come from across the US, Canada, Europe, Middle East and Africa. The main endpoint of the CIRCLE study is the percentage of patients with total PVD by the month 3 visit, confirmed by both B-scan ultrasound and SD-OCT. The study has a number of exploratory secondary endpoints, designed to yield further insight into ocriplasmin’s potential in reducing risk of progression of NPDR to PDR. For each patient recruited, the CIRCLE study will last around 24 months from the first injection. The first results are expected in the second half of 2017. 35.4% Any DR* *Any DR is defined as the presence of NPDR, PDR, DME or any combination thereof. Abbreviation(s) DR diabetic retinopathy NPDR non-proliferative diabetic retinopathy PDR proliferative diabetic retinopathy DME diabetic macular edema 31 32 Research and development Ophthalmology portfolio summary Neurodegeneration Segment Fibrosis Angiogenesis Edema Hallmarks of diabetic retinopathy Inflammation Program + + + + + + + THR-409 OCRIPLASMIN (1) THR-317 + + + + + + + + + + + + + + ANTI-PIGF THR-149 PLASMA K ALLIKREIN INHIBITOR THR- 687 INTEGRINE ANTAGONIST + + (+) + + + (2) (1) prevention blood vessel ingrowth in vitreous (PVD) (2) neo-angiogenesis inhibition + prevention blood vessel ingrowth in vitreous (PVD) + level of therapeutic action THROMBOGENICS CORPORATE HIGHLIGHTS 2015 THR-317 (anti-PlGF): to clinical development in 2016 The compound THR-317 (anti-PlGF) can be positioned in two ways. The molecule has a mechanism of action against hyperpermeability. By reducing the leakage of blood vessels, it can prevent inflammation in early-stage NPDR and potentially stop the disease from progressing and generating more edema, angiogenesis and fibrosis. Since THR-317 also tackles fibrosis and inflammation, it could also be administered to treat PDR patients if used in combination with anti-VGEF therapy with alternating injections. AntiVEGF treatments address some symptoms of DR but the patient still has inflammation, which if not addressed will result in scar tissue (fibrosis) leading to vision impairment and blindness. ThromboGenics is looking at developing THR-317 as sustained release. This lowers the patient’s burden because fewer treatments are necessary and there is less chance the patient will develop fibrosis. Preclinical research with THR-317 is already well-advanced. ThromboGenics intends to start the compound’s clinical development in 2016. THR-149 (plasma kallikrein inhibitor) Preclinical studies and clinical observations show that inhibition of the enzymatic activity of plasma kallikrein is able to reduce the formation of bradykinins, which are key components in the induction of edema in the back of the eye. With less edema present in the eye, the inflammation and hyperpermeability stop deteriorating. Therefore, the progression of DR can be prevented. ThromboGenics intends to develop THR-149 as sustained release formulation, in order to generate a long-term effect of the product in the back of the eye. Less treatments will be necessary, again lowering the burden of the patient. THR-687 (integrin antagonist) The compound THR-687 (integrin antagonist) is a promising product which has the potential to tackle the full spectrum of signs and symptoms in DR. Similar to ocriplasmin, research shows that THR-687 can generate a PVD, preventing blood vessels to grow into the vitreous or along the surface of the retina and reducing the risk of patients developing sight-threatening PDR. Moreover, the molecule shows to have the potential, to reduce edema and is also to stop inflammation. Therefore, THR-687 could be used for early treatment of patients with NPDR with or without DME, but at the same time for PDR patients with or without DME. ThromboGenics is currently evaluating THR-687 in preclinical research and intends to bring the product in clinical trial in 2018. The company believes that the compound can potentially be developed as a very powerful product to offer a better and disease modifying treatment for all DR patients. Moreover, the working mechanism of THR-687 is similar to ocriplasmin through pharmacological vitreolysis. As ThromboGenics is a pioneer in this area, developing and commercializing JETREA®, the company can use its experience to develop a product which covers the full spectrum of DR symptoms. 33 34 Research and development Retinal vein occlusion (RVO): scientific publication on lysing blood clots with ocriplasmin ThromboGenics is preparing a scientific publication on ocriplasmin’s potential for treating retinal vein occlusion (RVO), the second most common cause of blindness from retinal vascular disease after diabetic retinopathy. RVO is thought to negatively affect the quality of life for 16 million patients worldwide. Patients suffering from RVO exhibit a (full or partial) blockage of the veins that drain the retina, caused by formation of clots. In support of this research, ThromboGenics has secured a €0.6 million grant from the Flemish Agency for Innovation by Science and Technology (IWT). It is using this grant to evaluate ocriplasmin’s ability to lyse the clots that cause RVO by local intravenous administration of this thrombolytic agent in pre-clinical models of the disease. For that, the company will collaborate with the Ophthalmology Department of the University Hospital UZ Leuven in Belgium. The grant also supports a ThromboGenics partnership with the Mechanical Engineering Department of KU Leuven, which is developing a robotic-assisted system to locally administer ocriplasmin in the retinal veins. Oncurious nv: TB-403 trial In April 2015, ThromboGenics announced the formation of its subsidiary Oncurious nv, a new oncology company that will research and develop treatments of brain cancers in children. This lets ThromboGenics focus even more on meeting its DR goals while remaining the main shareholder of Oncurious. The main goal of Oncurious is to speed up development of TB-403 for treatment of medulloblastoma, a devastating cancer that affects children and adolescents. About medulloblastoma Medulloblastoma is a fast-growing, malignant, primary brain tumor. It originates in the lower rear portion of the brain called the posterior fossa, which controls balance, posture, and complex motor functions like speech and balance. It is the most common pediatric malignant brain tumor, accounting for 20% of all brain tumors in children. In the EU and US around 400 new patients are diagnosed annually, with boys affected twice as much as girls. The peak age of incidence is 3-5 years, and about 80% of patients are diagnosed before the age of 15. Current treatment consists of surgically removing as much tumor as possible, followed by craniospinal (brain and spine) radiation and/or chemotherapy – generally in older children (>3 years). Although treatment improves survival, these regimens are highly toxic to the developing brains and are associated with significant morbidity. The prognosis is worse if the child is less than 3 years old, not enough tumor is removed, or there is any spread to other regions of the brain or body. With treatment, 60-65% of children with high-risk medulloblastoma, and 80-90% of those with disease that has not spread, can be expected to be free of the disease 5 years later. But treatment often THROMBOGENICS CORPORATE HIGHLIGHTS 2015 results in significant neurocognitive impairment in children younger than 8. The potential of TB-403 in treating medulloblastoma TB-403 is a humanized monoclonal antibody against placental growth factor (PlGF). PlGF is expressed in several types of cancer, including medulloblastoma. High expression of the PlGF receptor neuropilin 1 has been shown to correlate with poor overall survival. In a landmark paper published in Cell by Prof. Rakesh Jain (Massachusetts General Hospital, Harvard, Boston, US) and Peter Carmeliet (VIB/ KU Leuven, Belgium) in 2013, the authors showed that blocking PlGF signaling in medulloblastoma mouse models resulted in tumor regression, decreased metastasis and improved survival. Treatment with TB-403 against PlGF in relevant animal models for medulloblastoma has demonstrated beneficial effects on tumor growth (containment) and survival. The favorable safety profile of TB-403 has already been shown in clinical trials in patients with other diseases. Oncurious will initiate a Phase I/IIa program with TB-403 in medulloblastoma, with the first patient expected to be enrolled in 2016. In January 2016, the FDA completed the safety review of Oncurious’s Investigational New Drug (IND) Application and ruled that the proposed pediatric clinical investigation can proceed. This was a major milestone for Oncurious. It confirms the hope that the novel antibody TB-403 could give pediatric oncologists a better treatment option for children afflicted with life-threatening tumors. ThromboGenics recently signed an agreement with NMTRC (a neuroblastoma medulloblastoma research foundation) for supporting the TB-403 clinical trial. The foundation has access to several clinical centers specialized in recruiting patients for clinical studies, which will accelerate the trial with TB-403. “Oncurious will initiate a Phase I/IIa program with TB-403 in medulloblastoma, with the first patient expected to be enrolled in 2016.” 35 PRODUCT PIPELINE THROMBOGENICS EC SE LI NI AR CA CH L PRODUCT PIPELINE PR RE 36 PIPELINE LEGEND DRUG/MOLECULE PRECLINICAL TARGET INDICATION CLINICAL THR-317 sVMA/VMT MARKET DME DME NPDR & PDR DR MB EXPLOR ATIVE RESEARCH DR THR- 687 NPDR & PDR THR-149 DME LI N A IC A L PH SE III AL PH AS E II C THROMBOGENICS CORPORATE HIGHLIGHTS 2015 IC JETREA OCRIPLASMIN SVMA / VMT CLINIC M AR KE T E I AL PHAS C L N I THR- 409 TB - 403 MB OCRIPLASMIN NPDR 37 38 PRODUCT PIPELINE IV THROMBOGENICS CORPORATE HIGHLIGHTS 2015 CHAPTER FOUR OUR ORGANIZATION The people behind the ThromboGenics success ThromboGenics employs around 85 people worldwide. Most work at the company headquarters in Leuven (Belgium) or from our office in New Jersey (US). The large majority of this international team’s members hold a Master’s or PhD degree. ThromboGenics has tailored the size of its US organization to the market demand for JETREA®. It is now a lean customer-centric organization that still supplies JETREA® via a well-established distribution network. The company’s US team provides medical and scientific data-driven support to the retina community and assists physicians’ efforts to enhance patient awareness of the options available for treating symptomatic VMA. These changes will make ThromboGenics’ US operations cash-flow neutral from 2016 onwards. Executive management Dr. Patrik De Haes – Chief Executive Officer Dr. Patrik De Haes has over 25 years of experience in the global healthcare industry, in product development, marketing and general management. Before joining ThromboGenics as CEO in 2008, he was head of Roche’s Global Insulin Infusion business. Before that Patrik was President and CEO of Disetronic Medical Systems Inc., a medical device company based in Minneapolis, USA. He also led the global development and commercialization of the first biotech product at Sandoz Pharma (now Novartis) in Switzerland. Patrik holds a degree in Medicine from the University of Leuven. 39 40 Our organization Dominique Vanfleteren – Chief Financial Officer In January 2015, ThromboGenics appointed Dominique Vanfleteren as its new Chief Financial Officer (CFO). Dominique has over 25 years of experience in senior finance, operational, control and reporting roles in quoted international biopharmaceutical companies. Before joining ThromboGenics, Dominique spent 12 years at UCB, a global biopharmaceutical company, where he held a number of international managerial finance positions, the latest being CFO of UCB’s Asia Pacific Operations, operating from Brussels and Shanghai. Prior to joining UCB, Dominique worked for GSK for 16 years. He held a number of senior finance positions in Brussels and London, the latest as Finance Director of GSK’s Diversified Healthcare Services Europe. Operations Management Team and Executive Committee Our leadership team’s expertise and experience in research, clinical development, commercialization and financing ensure the long-term success of ThromboGenics. The Executive Committee sets the company’s vision and strategy, while the broader Operations Management Team is responsible for planning and overseeing this strategy’s execution. The members of the ThromboGenics Operations Management Team are Andy De Deene*, Claude Sander*, Dominique Vanfleteren*, Isabelle Decoster, Jean Feyen*, Johny Van Genechten, Lene-Rose Arfelt, Lionel Moro, Ove Pedersen, Patrik De Haes*, Paul Howes*, Rosemarie Corrigan, and Wouter Piepers. * Executive Committee member Board of Directors Appointment of Philippe baron Vlerick Mr. Vlerick was appointed as a new Non-executive member of the Board of ThromboGenics NV at an extraordinary shareholders’ assembly in August. Mr. Vlerick is owner, Chairman and CEO of several businesses in Belgium and abroad. He currently serves as the Chairman and Chief Executive Officer of Vlerick Group (Belgium). He also serves as the Chairman and CEO of UCO. In addition, he is the Vice-chairman of KBC Group, Corelio, smartphoto Group and Durabilis. Baron Vlerick is also a member of the Board of Directors of Exmar, Hamon & Cie, Besix Group BMT & LVD (Belgium). THROMBOGENICS CORPORATE HIGHLIGHTS 2015 Mr. Baron Vlerick holds a Degree in Philosophy and Law from the University of Leuven, and an MBA General Management (PUB) (Ghent, Vlerick School of Management – 1979). He also holds a Masters Degree in Business Administration from Indiana University, Bloomington (USA – 1980). He was elected 2006 Manager of the Year by Trends, a leading business magazine in Belgium. He was granted the title of Baron in 2008, and became Commander of the Order of Leopold in 2013. Appointment of Emmanuèle Attout Emmanuèle Attout has been an audit partner at PricewaterhouseCoopers from 1994 to 2014, in charge of audits of a range of clients including banks, insurance companies, investment funds and asset managers. In recent years she managed the audits of listed pharmaceutical companies and life sciences businesses, from which she brings substantial relevant experience to the Board and to the Audit Committee. Emmanuèle is an independent non-executive director of Atenor Group and Schréder SA. She is also managing director of Investea sprl, a management company aiming to render advisory services to enterprises. From 2009 Emmanuèle was co-founder and Director of the ngo Women on Board to promote the place of women in Board of Directors. She serves also the Board of Toutes à l’école Belgique asbl. Emmanuèle graduated in Applied Economic Sciences at the Catholic University of Louvain. From left to right: Paul Howes, Emmanuèle Attout, Thomas Clay, Patrik De Haes, Luc Philips, Staf Van Reet, David Guyer, Patricia Ceysens, Philippe Vlerick (not on the picture) 41 42 Our organization V THROMBOGENICS CORPORATE HIGHLIGHTS 2015 CHAPTER FIVE SHAREHOLDERS INFORMATION Listing ThromboGenics is listed on the Eurolist by Euronext Brussels under the symbol THR. Since 2009 it has been listed on the NEXT 150 Index, made up of mid to large capitalization stocks on the Euronext exchange. Investor relations Our investor relations policy includes: »» Providing reliable, accurate, and valuable information in a timely manner to help shareholders make informed decisions »» Full transparency »» Operating within the Company’s policies and adhering to relevant security laws and regulations »» Strengthening our dialogue with the investment community »» Providing access to the senior management team Shareholding structure As of 31 December 2014, ThromboGenics has 36,094,349 outstanding shares and 691,000 outstanding warrants. Thomas Clay 7.73% Philippe Vlerick 6.44% Norges Bank 2.95% Public 82.88% 43 44 Shareholders information Paying agent services KBC Bank acts as paying agent, meaning it does not charge shareholders for dividend payments, exercise of subscription rights, and other events concerning ThromboGenics’ shares. Shareholders should investigate what other financial intermediaries might charge for paying agent services. Financial calendar 17 Mar 2016 ThromboGenics Full Year results 3 May 2016 ThromboGenics Annual Shareholders Meeting 13 May 2016 ThromboGenics Business Update Q1 25 Aug 2016 ThromboGenics Half Year Results 20 Oct 2016 ThromboGenics Business Update Q3 Registered office ThromboGenics NV Gaston Geenslaan 1 B-3001 Leuven Belgium T +32 16 75 13 10 F +32 16 75 13 11 [email protected] Investor relations contact ThromboGenics NV Gaston Geenslaan 1 B-3001 Leuven Belgium [email protected] [email protected] www.thrombogenics.com THROMBOGENICS CORPORATE HIGHLIGHTS 2015 Contact details ThromboGenics Wouter Piepers, Global Head of Corporate Communications/IR +32 16 75 13 10 [email protected] Dominique Vanfleteren, CFO +32 16 75 13 10 [email protected] 45 46 Shareholders information