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2013 Apr 15 Annual Report 2012 - Phosphagenics

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12<br />

OPIOID PATCH PROGRAM<br />

The opioid patch program has evolved since<br />

the Company announced the success of its<br />

Oxycodone patch prototype in June 2009.<br />

This patch was taken to the clinic in February<br />

2010 and achieved its end points of safety and<br />

delivery into the bloodstream. In March 2011,<br />

we partnered with 3M who helped develop a<br />

patch to take to the clinic in early <strong>2012</strong>. Again<br />

this improved patch met primary endpoints of<br />

safety and delivery but issues of crystallisation<br />

meant that this had to be resolved prior to<br />

any further steps towards commercialisation.<br />

With the assistance of our new development<br />

partner Labtec <strong>Phosphagenics</strong> was able to<br />

resolve those issues and formulate a patch that<br />

is ready to return to the clinic in early <strong>2013</strong>.<br />

In December <strong>2012</strong>, <strong>Phosphagenics</strong> announced<br />

the expansion of the opioid patch portfolio to<br />

include other opioids with the first candidate being<br />

chosen Oxymorphone. Oxymorphone is an opioid<br />

of similar structure to Oxycodone but in the oral<br />

form is around 3.5 times as potent. Oxymorphone<br />

clinical trials began in February. The Oxymorphone<br />

market is dominated by the Endo product Opana<br />

which has about 2/3rds of the total market of in<br />

excess of $600 million per annum (which grew<br />

by around 17% last year).<br />

Oxymorphone is a drug which when taken orally<br />

has very low bioavailability. This and the fact it is<br />

considerably more potent than Oxycodone and<br />

Morphine made it an ideal choice for transdermal<br />

delivery. All the known advantages of transdermal<br />

delivery still apply, but with the benefit of being<br />

able to cater for more severe pain indications than<br />

Oxycodone and Morphine. It was an excellent<br />

achievement that our research team was able<br />

to take the oxymorphone patch from idea to<br />

clinical trials in 6 months. This emphasises the<br />

level of expertise that has been reached by them.<br />

The Opioid Patch Program Remains the<br />

Focus of our Pharmaceutical Developments<br />

The opioid patch program is entering the clinic with<br />

its two main opioid patches in <strong>2013</strong>. The patches<br />

are being designed to provide sustained delivery<br />

of opioids over 72 hours. Pain has reached<br />

epidemic proportions in the US with more people<br />

affected by pain than diabetes, heart disease<br />

and cancer combined. In 2009, 257 million<br />

prescriptions for opioids were dispensed<br />

in America.<br />

Chronic pain which is persistent pain can be<br />

very debilitating. A recent market research report<br />

indicates that more than 1.5billion people globally<br />

suffer from chronic pain with 100 million in the US.<br />

Currently there are only two opioids delivered<br />

transdermally. Fentanyl which is now generic<br />

but was originally branded as Duragesic, and<br />

Buprenorphen which is a synthetic opioid which<br />

The company in early <strong>2013</strong> also announced the<br />

expansion of the program to investigate the use<br />

of oxycodone as a topical application (via a patch)<br />

for more localised pain relief, following on from<br />

some earlier pre clinical results. A non systemic<br />

delivery of an opioid would be a unique product<br />

with none of the issues that are caused by<br />

delivery into the bloodstream.<br />

PHOSPHAGENICS ANNUAL REPORT <strong>2012</strong>

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