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Annual Report 2012.pdf - Karo Bio

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Administration <strong>Report</strong><br />

Between 2008 and the first quarter 2012, the project was conducted<br />

in collaboration with the Indian pharmaceutical company<br />

Zydus Cadila, under which the parties assumed their own costs<br />

and share potential revenue. The parties preferred different paths<br />

in the continued development and therefore decided to terminate<br />

their joint research and development. <strong>Karo</strong> <strong>Bio</strong> continues to<br />

develop the project on its own.<br />

LXR inflammation – collaboration with Pfizer<br />

The collaboration with Wyeth LCC, today a wholly owned subsidiary<br />

of Pfizer Inc., was initiated in 2001 and is focused on the<br />

development of pharmaceuticals for the treatment of inflammatory<br />

diseases with the liver X receptor (LXR) as a target protein.<br />

Since 2009, Wyeth (Pfizer) has taken on full responsibility for<br />

financing as well as research and development of the project.<br />

NURR1 – a new way to treat autoimmune diseases<br />

In the spring of 2012, <strong>Karo</strong> <strong>Bio</strong> started preparatory development<br />

work on the receptor NURR1. The receptor controls the development<br />

of regulatory T-cells (Treg) that monitor and control<br />

other T-cells activity. A low number of Treg-cells has been associated<br />

with autoimmune diseases such as multiple sclerosis, rheumatoid<br />

arthritis, type 1 diabetes and lupus. A drug that stimulates<br />

the NURR1 receptor and therefore also regulatory T-cells can be<br />

expected to have positive impact on autoimmune diseases.<br />

There is a biological drug (antibody) under development in<br />

clinical phase II by <strong>Bio</strong>test AG in collaboration with Abbott that<br />

demonstrates the potential of activating regulatory T-cells for<br />

patients with autoimmune diseases. Initial discussions with larger<br />

pharmaceutical companies verify that there is a clear commercial<br />

interest in NURR1 and <strong>Karo</strong> <strong>Bio</strong>’s assessment is that it may<br />

have potential to develop into a so-called hot spot, creating an<br />

opportunity to enter into a license agreement at an early stage.<br />

The work on this receptor is at a very early stage.<br />

RORgamma – a new opportunity to treat autoimmune diseases<br />

New research reveals that the nuclear receptor RORgamma may<br />

play a critical role in the development of autoimmune disease,<br />

such as rheumatoid arthritis, inflammatory bowel disease and<br />

psoriasis. In 2010, <strong>Karo</strong> <strong>Bio</strong> initiated a research program to develop<br />

and evaluate compounds that inhibit RORgamma activity.<br />

These compounds have potential as an innovative treatment<br />

alternative for autoimmune diseases since RORgamma has been<br />

shown to control the maturation of, and activity in, a certain type<br />

of immune cell, believed to drive inflammatory and debilitating<br />

processes in such diseases.<br />

In December 2011, <strong>Karo</strong> <strong>Bio</strong> entered into a research collaboration<br />

and licensing agreement with Pfizer for RORgamma<br />

to discover and develop new compounds for the treatment of<br />

autoimmune diseases. Pfizer is responsible for fully financing all<br />

research for two years and will have exclusive rights for products<br />

developed as a result of the collaboration. The development<br />

project progressed in a positive direction in 2012.<br />

The agreement is expected to provide <strong>Karo</strong> <strong>Bio</strong> with 10-12 million<br />

USD in 2012 and 2013. In 2012, <strong>Karo</strong> <strong>Bio</strong> recognized revenue<br />

of 5 million USD from the project. Pfizer has the right to extend<br />

the research agreement until 2015, and can also withdraw from the<br />

contract at the earliest during the second quarter of 2013.<br />

TR / eprotirome – dyslipidemia (No longer active)<br />

Eprotirome is a liver-selective thyroid hormone receptor (TR),<br />

which was developed for the treatment of dyslipidemia. The<br />

pharmaceutical project was canceled in February after an animal<br />

study demonstrated adverse effects during long-term exposure.<br />

The study showed changes in joint cartilage in dogs given eprotirome<br />

for up to 12 months. The damage appeared only after 12<br />

months of exposure, and not in control animals. This meant that<br />

it could not be excluded that also people could suffer similar<br />

damage. Chronic treatment with eprotirome was considered too<br />

risky compared to the benefits of the lipid-lowering effect that<br />

the phase III study would demonstrate. The findings also meant<br />

that regulatory prerequisites were not fulfilled to enable the<br />

continuation of the program as planned.<br />

The total cost of the eprotirome Phase III program, which<br />

was scheduled to run until 2014, was estimated at about MSEK<br />

300. The total cost of the program amounted to approximately<br />

MSEK 140, of which exit costs accounted for about MSEK 33.<br />

KEY EVENTS AFTER THE END OF FISCAL YEAR 2012<br />

No significant events have occurred after the end of fiscal year<br />

2012.<br />

ORGANIZATION<br />

In addition to the parent company <strong>Karo</strong> <strong>Bio</strong> AB, the Group<br />

consists of the wholly owned subsidiaries <strong>Karo</strong> <strong>Bio</strong> Research AB<br />

and <strong>Karo</strong> <strong>Bio</strong> Discovery AB which are currently not conducting<br />

any business. The head office is located in Huddinge, outside of<br />

Stockholm, Sweden, also the site of the company’s operations.<br />

The company management consists of five people: the President<br />

and CEO, Chief Financial Officer, Director of Preclinical<br />

Development, Director of Clinical Development, and Vice<br />

President Business Development.<br />

At the end of the year, <strong>Karo</strong> <strong>Bio</strong> had 43 (68) permanent<br />

employees, of whom 37 (60) engaged in research and development,<br />

1 (3) in business development and patents, and 5 (5) had<br />

administrative roles.<br />

RESULTS AND FINANCIAL POSITION<br />

Results<br />

Consolidated net sales increased to MSEK 33.2 (0.0). Operating<br />

expenses decreased to MSEK 132.9 (231.2), of which 33.0 is directly<br />

attributable to the divestment of the eprotirome program.<br />

This year’s expenditure on research and development amounted<br />

to MSEK 107.9 (189.3).<br />

Administrative expenses decreased to MSEK 25.1 (40.8).<br />

The administrative expenses for 2011 included severance cost of<br />

MSEK 5.3. Operating loss improved to MSEK 99.7 (231.2). Net<br />

financial items amounted to MSEK 1.5 (4.5). Net income for the<br />

year improved to MSEK –98.3 (–226.6).<br />

Investments<br />

Investments amounted to MSEK 0.6 (3.4) and relate primarily to<br />

laboratory and IT equipment.<br />

Cash flow and financial position<br />

Cash and cash equivalents amounted to MSEK 28.0 (43.8) at<br />

year end. Including the short-term investments with a maturity<br />

exceeding 90 days, the company’s financial assets amounted<br />

to MSEK 54.1 (158.5). Cash flow from operating activities<br />

amounted to MSEK –127.8 (–198.3).<br />

The rights issue of MSEK 32.7, which was conducted in the<br />

fourth quarter of 2012, brought in MSEK 28.3 to the company<br />

after transaction costs. The rights issue of MSEK 325, which was<br />

conducted in the fourth quarter of 2010, brought MSEK 291 to<br />

the company after transaction costs.<br />

Equity and share data<br />

The registered share capital was MSEK 7.7 per December 31,<br />

2012. The total number of shares was 387,063,972.<br />

KARO BIO <strong>Annual</strong> <strong>Report</strong> 2012 15

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